Provider Demographics
NPI:1659552776
Name:SIEMENS CLINICAL LABORATORY
Entity Type:Organization
Organization Name:SIEMENS CLINICAL LABORATORY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, SIEMENS CLINICAL LAB
Authorized Official - Prefix:MS
Authorized Official - First Name:JAN
Authorized Official - Middle Name:
Authorized Official - Last Name:TURCZYN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-982-4215
Mailing Address - Street 1:725 POTTER ST
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94710-2722
Mailing Address - Country:US
Mailing Address - Phone:510-982-4200
Mailing Address - Fax:510-982-4203
Practice Address - Street 1:725 POTTER ST
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94710-2722
Practice Address - Country:US
Practice Address - Phone:510-982-4200
Practice Address - Fax:510-982-4203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-16
Last Update Date:2016-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACLF10781291U00000X
MD733291U00000X
NYPFI4995291U00000X
PA023005291U00000X
RILCO00477291U00000X
WVHIV-RL-23291U00000X
FL800007851291U00000X
CA05D0888918291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory