Provider Demographics
NPI:1295248193
Name:SIEMENS HEALTHCARE LABORATORY LLC
Entity type:Organization
Organization Name:SIEMENS HEALTHCARE LABORATORY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR. MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:CRUZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-982-4080
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:2017-11-14
Last Update Date:2017-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA05D0888918291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL800007851Other291U00000X
MD733Other291U00000X
NYPFI4995Other291U00000X
CA05D0888918Other291U00000X
RILCO00477Other291U00000X
PA023005Other291U00000X
WVHIV-RL-23Other291U00000X
CACLF10781Other291U00000X