UNIVERSITY OF SOUTHERN CALIFORNIA (NPI# 1467658849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467658849 |
Entity Type | Organization |
Organization Name | UNIVERSITY OF SOUTHERN CALIFORNIA |
Other Organization Name | USC IMMUNOHISTOCHEMISTRY LABORATORY |
Practice Address |
2011 Zonal Ave Hrm 308 and 310 Los Angeles CA 90089-0110 |
Mailing Address |
Po Box 31309 Los Angeles CA 90031-0309 |
Practice Telephone | 3234421156 |
Mailing Telephone | 3234421156 |
Enumeration Date | 2007-06-22 |
Last Update Date | 2015-04-30 |
Authorized Official Name | MR. TODD DICKEY (SR VP ADMINISTRATION) |
Authorized Official Telephone | 2137408184 |
Is Organization Subpart | Y |
Parent Organization Name | UNIVERSITY OF SOUTHERN CALIFORNIA |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | LAB33784F | 05 | |
CA | CLIA NUMBER | 05D1033784 | 01 |
CA | MEDICARE RAILROAD | 690000015 | 01 |
STATE LIC | CLF332197 | 01 |
Other Name | Type Code |
---|---|
USC IMMUNOHISTOCHEMISTRY LABORATORY | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841724168 | University of Southern California | Dentist | 545 S. San Pedro Street, Second Floor, Los Angeles, CA 90013-2101 | 2017-04-13 |
1558819391 | University of Southern California | General Acute Care Hospital | 1441 Eastlake Avenue, Suite 3440, Los Angeles, CA 90033-4972 | 2016-09-21 |
1306263264 | University of Southern California | Pharmacy | 830 S Flower St, Los Angeles, CA 90017-4608 | 2014-03-27 |
1568595684 | University of Southern California | Clinical Medical Laboratory | 1441 Eastlake Avenue, Room 5409, Los Angeles, CA 90033 | 2007-03-14 |
1427181577 | University of Southern California | Clinical Medical Laboratory | 1200 North State Street, Barracks D, Los Angeles, CA 90033 | 2007-03-14 |
1881727220 | University of Southern California | Clinical Medical Laboratory | 1321 North Mission Road, Lrb 207 and 208, Los Angeles, CA 90033 | 2007-03-14 |
1427181072 | University of Southern California | Clinical Medical Laboratory | 126 W. Del Mar Blvd, Pasadena, CA 91105-2508 | 2007-03-13 |
1285707158 | University of Southern California | Dentist | 3151 S Hoover St, Los Angeles, CA 90089-0641 | 2006-11-16 |
1952480469 | University of Southern California | Pharmacy | 3601 Trousdale Pkwy, Stu 101, Los Angeles, CA 90089-0096 | 2006-11-03 |
1790160273 | University of Southern California | Pharmacy | 1000 S Fremont Ave, Suite 10150, Alhambra, CA 91803-8800 | 2015-07-24 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Massachusetts Corporations | UNIVERSITY OF SOUTHERN CALIFORNIA | 3551 Trousdale Parkway, Adm 352, Los Angeles, CA 90089-5013 |
North Carolina Corporations | University of Southern California | 2626 Glenwood Avenue, Suite 550, Raleigh, NC 27608 |
Street Address |
2011 ZONAL AVE HRM 308 AND 310 |
City | LOS ANGELES |
State | CA |
Zip Code | 90089-0110 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518972223 | Russell K Brynes | Pathology | 2011 Zonal Ave, Los Angeles, CA 90089-0110 | 2006-07-30 |
1376864793 | Dawn Piarulli | Internal Medicine | 2011 Zonal Ave, Hmr 711, Los Angeles, CA 90089-0110 | 2010-06-21 |
1881913689 | William Martin | Pathology | 2011 Zonal Ave, Los Angeles, CA 90033 | 2010-05-19 |
1154571420 | Yi Zheng | General Acute Care Hospital | 2011 Zonal Ave, Hmr 101, Dept. Gastroenterology & Hepatology, Usc, Los Angeles, CA 90089-0110 | 2008-09-23 |
1942473285 | Imran N Siddiqi | Pathology | 2011 Zonal Ave, Hmr 308, Los Angeles, CA 90089-0110 | 2008-04-08 |
1629158878 | Michael Eric Selsted | Pathology | 2011 Zonal Ave, Hmr 204, Los Angeles, CA 90089-0110 | 2006-10-16 |
1821004797 | Gary Craig Kanel | Pathology | 2011 Zonal Ave, Los Angeles, CA 90089 | 2006-07-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962980201 | Brittany Nicole Beasley | Psychologist | 1031 W. 34th St., 3rd Floor, Suite 304, Los Angeles, CA 90089 | 2018-07-30 |
1548763675 | Tien Ng | Pharmacist | Usc School of Pharmacy, 1985 Zonal Ave, Los Angeles, CA 90089 | 2018-03-15 |
1821503236 | Theodore James Goldsmith | Psychologist | 1031 W 34th St Fl 3, Los Angeles, CA 90089 | 2017-12-07 |
1174046890 | Erin Lindsay Mcintyre | Occupational Therapist | 1540 Alcazar Street, Chp 133, Los Angeles, CA 90089 | 2017-07-25 |
1831645571 | Alyssa Cantal | Student in an Organized Health Care Education/Training Program | 1540 Alcazar St., Chp-133, Los Angeles, CA 90089 | 2016-09-01 |
1841744638 | Cheryl Jonghee Park | Dentist | 925 W. 34th Street, Room 4363, Los Angeles, CA 90089 | 2016-08-09 |
1528412376 | Mark Duan Ard Jr. | Psychiatry & Neurology | 1975 Zonal Ave, Los Angeles, CA 90089 | 2016-04-18 |
1851766679 | Samantha Trout | Student in an Organized Health Care Education/Training Program | 1540 Alcazar St Chp-133, Los Angeles, CA 90089 | 2015-12-04 |
1215324363 | Upama Giri | Student in an Organized Health Care Education/Training Program | 1441 Eastlake Ave Ste 3470, Los Angeles, CA 90089 | 2015-04-15 |
1982015004 | Martrice Ways | Student in an Organized Health Care Education/Training Program | 3375 South Hoover Street, Suite H201, Los Angeles, CA 90089 | 2014-05-12 |
Find all providers in zip 90089 |
Taxonomy Code | 291U00000X |
Grouping | Laboratories |
Classification | Clinical Medical Laboratory |
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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1699226415 | Kathleen Ann Kelly | Clinical Medical Laboratory | David Geffen Medical Ctr Ucla 10833 Le Conte Ave, Mailroom A3-215 Chs, Mailcode 173216, Los Angeles, CA 90095-1732 | 2016-10-17 |
1306203229 | Quick and Easy Hplebotomy Services, LLC | Clinical Medical Laboratory | 9029 Airport Blvd Unit 91896, Los Angeles, CA 90009-4904 | 2016-01-22 |
1992161632 | Pachulski Industries Inc | Clinical Medical Laboratory | 100 Copa De Oro Rd, Los Angeles, CA 90077-3802 | 2016-01-11 |
1851761282 | Dynamic Clinical Laboratories, Inc. | Clinical Medical Laboratory | 516 N Larchmont Blvd, Los Angeles, CA 90004-1306 | 2015-09-28 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90089 |
Please comment or provide details below to improve the information on UNIVERSITY OF SOUTHERN CALIFORNIA.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.