Organization Active NPI

Phypro Labs LLC

  • Clinical Medical Laboratory
  • San Jose, CA
National Provider Identifier
1639443161
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
CFL 342180 Issued in CA
Legal business name
PHYPRO LABS LLC
Practice address
1310 Tully Rd
Suite 109
San Jose, CA 95122-3054
Phone
(408) 275-1741
Fax
(888) 704-1339
NPI assigned
Mar 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2012

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

Authorized official

Name
Dr. Donald Simpson, M.D., PHD
Title
Medical Director
Phone
(408) 275-1741

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X CFL 342180 CA Primary

Addresses

Primary practice location

1310 Tully Rd
Suite 109
San Jose, CA 95122-3054

Mailing address

1310 Tully Rd
Suite 109
San Jose, CA 95122-3054
Phone (408) 275-1741

National Provider Directory

National Provider Directory

Locations

1310 Tully Rd
Ste 109
San Jose, CA 95122
Phone (408) 275-1741

NPI Registry JSON

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1639443161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 TULLY RD",
            "address_2": "SUITE 109",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951223054",
            "telephone_number": "408-275-1741",
            "fax_number": "888-704-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 TULLY RD",
            "address_2": "SUITE 109",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951223054",
            "telephone_number": "408-275-1741",
            "fax_number": "888-704-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYPRO LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-01",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "408-275-1741",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CFL 342180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.