Provider Demographics
NPI:1982606992
Name:ASCEND CLINICAL, LLC
Entity Type:Organization
Organization Name:ASCEND CLINICAL, LLC
Other - Org Name:SATELLITE LABORATORY SERVICES, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNSADER
Authorized Official - Suffix:
Authorized Official - Credentials:CLS
Authorized Official - Phone:650-780-5505
Mailing Address - Street 1:PO BOX 45021
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94145-0021
Mailing Address - Country:US
Mailing Address - Phone:650-780-5500
Mailing Address - Fax:650-780-5545
Practice Address - Street 1:435 OAKMEAD PKWY
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94085-4709
Practice Address - Country:US
Practice Address - Phone:650-780-5500
Practice Address - Fax:650-780-5501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-10
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACLF4141291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200423480-AMedicaid
TX151449901Medicaid
VI1982606992Medicaid
NJ0029254Medicaid
KS200536970AMedicaid
WI32939700Medicaid
NM85059064Medicaid
MS003571819Medicaid
WY1982606992Medicaid
OH2286244Medicaid
WV3810004055Medicaid
MO706125200Medicaid
GA00954456AMedicaid
FL0307025-00Medicaid
MA110171327AMedicaid
ND13550Medicaid
LA1623032Medicaid
ID1982606992Medicaid
OR269523Medicaid
DC34239800Medicaid
TN4490747Medicaid
CALAB04141FMedicaid
GUS0099487Medicaid
NV100503467Medicaid
OK200058030AMedicaid
CT3111052Medicaid
HI58993901Medicaid
NC7001212Medicaid
MN90946700Medicaid
AKLB270CAMedicaid
NE10025092801Medicaid
AR146910709Medicaid
KY37900107Medicaid
MD406500000Medicaid
MI4413260Medicaid
IA552562Medicaid
CO71627537Medicaid
AZ863432-01Medicaid
VA0100200Medicaid
PA1882882Medicaid
AL690000001Medicaid
SCL00170Medicaid