UNIVERSITY OF SOUTHERN CALIFORNIA


Address: 2011 Zonal Ave, Hrm 308 and 310, Los Angeles, CA 90089-0110
Phone: 3234421156

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory Laboratories

Other Provider Identifier

State Issuer Identifier Type Code
CA LAB33784F 05
CA CLIA NUMBER 05D1033784 01
CA MEDICARE RAILROAD 690000015 01
STATE LIC CLF332197 01

Other Provider/Organization Names

Other Name Type Code
USC IMMUNOHISTOCHEMISTRY LABORATORY Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 2011 ZONAL AVE
HRM 308 AND 310
City LOS ANGELES
State CA
Zip Code 90089-0110

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy Definition

(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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1144769068 Flow Health Laboratories LLC Clinical Medical Laboratory 8885 Venice Blvd Ste 104, Los Angeles, CA 90034-3242 2017-02-13
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
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Competitor

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City LOS ANGELES
Zip Code 90089

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Dataset Information

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.

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