Stanford Blood Center, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLF2822 Issued in CA

Legal business name

STANFORD BLOOD CENTER, LLC

Doing business as

Histocompatibility, Immunogenetics and Disease Profiling Laboratory

Practice address

3373 Hillview Ave
Palo Alto, CA 94304

Phone

(650) 723-5548

Fax

(650) 723-6350

NPI assigned

Oct 6, 2009

Organization subpart

Yes

Parent organization

STANFORD HEALTH CAREAs reported in NPPES

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

Authorized official

Name

Ms. Harprit Sandhu

Title

Executive Director

Phone

(650) 723-7994

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Histocompatibility, Immunogenetics and Disease Profiling Laboratory Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Stanford Blood Center5 organizations share this tax ID, including this one

Part of

Stanford Health SVCS Di

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Stanford Blood Center, LLC

  • Clinical Medical Laboratory
  • Palo Alto, CA
  • NPI 1033690177
  NPD tax ID
• Stanford Blood Center, LLC

  • Clinical Medical Laboratory
  • Palo Alto, CA
  • NPI 1124509260
  NPD tax ID
• Stanford Blood Center, LLC

  • Clinical Medical Laboratory
  • Palo Alto, CA
  • NPI 1942781083
  NPD tax ID
• Stanford Blood Center, LLC

  • Blood Bank
  • Palo Alto, CA
  • NPI 1962712505
  NPD tax ID

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

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535068800000",
    "number": "1548595747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3373 HILLVIEW AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041204",
            "telephone_number": "650-723-5548",
            "fax_number": "650-723-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3373 HILLVIEW AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "94304",
            "telephone_number": "650-723-5548",
            "fax_number": "650-723-6350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANFORD BLOOD CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STANFORD HEALTH CARE",
        "enumeration_date": "2009-10-06",
        "last_updated": "2018-08-24",
        "status": "A",
        "authorized_official_last_name": "SANDHU",
        "authorized_official_first_name": "HARPRIT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "650-723-7994",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF2822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL LABORATORY LICENSE",
            "identifier": "CLF00002822",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE AMERICAN SOCIETY FOR HISTOCOMPATIBILITY & IMMUNOGENETICS",
            "identifier": "066CA082",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA CERTIFICATE",
            "identifier": "05D0718472",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Histocompatibility, Immunogenetics and Disease Profiling Laboratory",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Histocompatibility, Immunogenetics and Disease Profiling Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sydney Leanne Stahl, OTD, OTR/L
• Jessica Staley, LMSW
• Adam Barnaby Stamm
• Stanford Blood Center, LLC
• Stanford Blood Center, LLC
• Stanford Blood Center, LLC
• Stanford Blood Center, LLC
• Stanford Children'S Hospital
• Stanford Health Care
• Stanford Healthcare

• Clinical Medical Laboratory in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.