Organization Active NPI

Veracyte Labs SD Corporation

  • Clinical Medical Laboratory
  • San Diego, CA
National Provider Identifier
1770833121
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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

Updated by the provider on Apr 25, 2024

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)CodeLicenseStatePrimary
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 Former legal business name
  • Veracyte Labs SD Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130712000274 CA Part B Supplier - Independent Clinical Laboratory 3577703602 Practice locations: San Diego, CA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2055897Veracyte Labs SD6925 Lusk Blvd, Ste 200, San Diego, CA 92121AccreditationMay 24, 2028

National Provider Directory

National Provider Directory

Member 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.

Verify at the official NPI Registry.