Organization Active NPI

Lucence Health Inc.

  • Clinical Medical Laboratory
  • Palo Alto, CA
National Provider Identifier
1942897103
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
LUCENCE HEALTH INC.
Practice address
3520 W Bayshore Rd
Palo Alto, CA 94303-4228
Phone
(888) 582-3623
NPI assigned
Dec 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Authorized official

Name
John Challis, PHD
Title
VP Operations
Phone
(888) 582-3623

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

3520 W Bayshore Rd
Palo Alto, CA 94303-4228

Mailing address

3520 W Bayshore Rd
Palo Alto, CA 94303-4228
Phone (888) 582-3623

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210909000791 CA Part B Supplier - Independent Clinical Laboratory 4587060009 Practice locations: Palo Alto, 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
05D2200843Lucence Health Inc3520 W Bayshore Rd, Palo Alto, CA 94303AccreditationSep 7, 2027

National Provider Directory

National Provider Directory

Locations

3520 W Bayshore Rd
Palo Alto, CA 94303
Phone (888) 582-3623

Dept CH 18055
Palatine, IL 60055

NPI Registry JSON

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

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608595200000",
    "number": "1942897103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 W BAYSHORE RD",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943034228",
            "telephone_number": "888-582-3623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 W BAYSHORE RD",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943034228",
            "telephone_number": "888-582-3623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCENCE HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-22",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A",
        "authorized_official_last_name": "CHALLIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "888-582-3623",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.