Active NPI
Veracyte Labs SD Corporation
- Clinical Medical Laboratory
- San Diego, CA
National Provider Identifier
1770833121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- VERACYTE LABS SD CORPORATION
- Practice address
- 6925 Lusk Blvd Ste 200
San Diego, CA 92121-2789 - Phone
- (888) 792-1601
- Fax
- (866) 524-5768
- NPI assigned
- Sep 13, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rebecca Chambers
- Title
- Cfo
- Phone
- (888) 792-1601
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
6925 Lusk Blvd Ste 200
San Diego, CA 92121-2789
Mailing address
PO Box 511311
Los Angeles, CA 90051-7866
Phone (888) 792-1601
Other names 2
- Decipher Corp
- Veracyte Labs SD
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130712000274 | CA | Part B Supplier - Independent Clinical Laboratory | 3577703602 | Practice locations: San Diego, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2055897 | Veracyte Labs SD | Accreditation | May 24, 2028 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
Dept LA 24098
Pasadena, CA 91185
3550 Dunhill St
San Diego, CA 92121
Phone (858) 444-0363
6925 Lusk Blvd
Ste 200
San Diego, CA 92121
Phone (888) 792-1601
10355 Science Center Dr
San Diego, CA 92121
Phone (583) 536-5678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347494400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714003200000",
"number": "1770833121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 511311",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900517866",
"telephone_number": "888-792-1601",
"fax_number": "866-524-5768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6925 LUSK BLVD STE 200",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921212789",
"telephone_number": "888-792-1601",
"fax_number": "866-524-5768"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VERACYTE LABS SD CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-13",
"last_updated": "2024-04-25",
"certification_date": "2024-04-25",
"status": "A",
"authorized_official_last_name": "CHAMBERS",
"authorized_official_first_name": "REBECCA",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "888-792-1601"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Decipher Corp",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Veracyte Labs SD",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Veracyte Labs SD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.