Active NPI
Sutter Shared Lab, LLC
- Clinical Medical Laboratory
- Livermore, CA
National Provider Identifier
1699120857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- CLF00000265
- Legal business name
- SUTTER SHARED LAB, LLC
- Practice address
- 2950 Collier Canyon Rd
Livermore, CA 94551-9224 - Phone
- (925) 371-3800
- NPI assigned
- Apr 25, 2016
- Organization subpart
- Yes
- Parent organization
- SUTTER HEALTH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Schiffgens
- Title
- President/Ceo
- Phone
- (925) 371-3820
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | CLF00000265 | CA | Primary |
Addresses
Primary practice location
2950 Collier Canyon Rd
Livermore, CA 94551-9224
Mailing address
2950 Collier Canyon Rd
Livermore, CA 94551-9224
Phone (925) 371-3800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160607000780 | CA | Part B Supplier - Independent Clinical Laboratory | 9537459391 | Practice locations: Livermore, CA |
National Provider Directory
National Provider Directory- Part of
- Sutter Health Shared Laboratory
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461542400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1461542400000",
"number": "1699120857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2950 COLLIER CANYON RD",
"city": "LIVERMORE",
"state": "CA",
"postal_code": "945519224",
"telephone_number": "925-371-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2950 COLLIER CANYON RD",
"city": "LIVERMORE",
"state": "CA",
"postal_code": "945519224",
"telephone_number": "925-371-3800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUTTER SHARED LAB, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SUTTER HEALTH",
"enumeration_date": "2016-04-25",
"last_updated": "2016-04-25",
"status": "A",
"authorized_official_last_name": "SCHIFFGENS",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "925-371-3820"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "CA",
"license": "CLF00000265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livermore, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.