Provider Demographics
NPI:1770833121
Name:VERACYTE LABS SD CORPORATION
Entity Type:Organization
Organization Name:VERACYTE LABS SD CORPORATION
Other - Org Name:VERACYTE LABS SD
Other - Org Type:Other Name
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAMBERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-792-1601
Mailing Address - Street 1:DEPT LA 24098
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91185-4098
Mailing Address - Country:US
Mailing Address - Phone:888-792-1601
Mailing Address - Fax:866-524-5768
Practice Address - Street 1:6925 LUSK BLVD STE 200
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92121-2789
Practice Address - Country:US
Practice Address - Phone:888-792-1601
Practice Address - Fax:866-524-5768
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-13
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory