NPIMap

Organization Active NPI

University of Southern California

Doing business as Usc Electron Microscopy Laboratory

  • Clinical Medical Laboratory
  • Los Angeles, CA
National Provider Identifier
1427181577
Registry record updated Feb 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
05D0714357 Issued in CA
Legal business name
UNIVERSITY OF SOUTHERN CALIFORNIA
Doing business as
Usc Electron Microscopy Laboratory
Practice address
1200 North State Street
Barracks D,
Los Angeles, CA 90033
Phone
(323) 226-6507
Fax
(323) 226-7069
NPI assigned
Mar 14, 2007
Last updated
Feb 20, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
UNIVERSITY OF SOUTHERN CALIFORNIAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 20, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Todd Dickey
Title
Sr VP Administration
Phone
(213) 740-8184

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 05D0714357 CA Primary

Addresses

Primary practice location

1200 North State Street
Barracks D,
Los Angeles, CA 90033

Mailing address

PO Box 513199
Los Angeles, CA 90033
Phone (323) 226-6507

Other identifiers 4

IdentifierTypeStateIssuer
690000015OtherCAMEDICARE RAILROAD
05D0714357OtherCACLIA
CLF310871OtherCASTATE
LAB14357FMedicaidCA

Other names 1

  • USC ELECTRON MICROSCOPY LABORATORY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050223000959 CA Part B Supplier - Independent Clinical Laboratory 5597658633 5 other NPIs on this enrollment
Practice locations: Pasadena, CA

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Usc School of Dentistry

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Usc Kenneth Norris Jr Cancer HospitalLos Angeles, CA, CCN 050660 Hospital 5% Or Greater Indirect Ownership Interest (100%) Jan 21, 2021
Usc Verdugo Hills HospitalGlendale, CA, CCN 050124 Hospital 5% Or Greater Indirect Ownership Interest (100%) Jan 21, 2021
Usc Verdugo Hills HospitalGlendale, CA, CCN 05S124 Hospital 5% Or Greater Indirect Ownership Interest (100%) Jan 21, 2021
Keck Hospital of UscLos Angeles, CA, CCN 050696 Hospital 5% Or Greater Indirect Ownership Interest (100%) Jan 1, 2021

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235088000000",
    "number": "1427181577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 513199",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90033",
            "telephone_number": "323-226-6507",
            "fax_number": "323-226-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 NORTH STATE STREET",
            "address_2": "BARRACKS D,",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90033",
            "telephone_number": "323-226-6507",
            "fax_number": "323-226-7069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF SOUTHERN CALIFORNIA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF SOUTHERN CALIFORNIA",
        "enumeration_date": "2007-03-14",
        "last_updated": "2009-02-20",
        "status": "A",
        "authorized_official_last_name": "DICKEY",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "SR VP ADMINISTRATION",
        "authorized_official_telephone_number": "213-740-8184"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "05D0714357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "690000015",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D0714357",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "CLF310871",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LAB14357F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "USC ELECTRON MICROSCOPY LABORATORY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.