Organization · Type 2 NPI

Sutter West Bay Medical Foundation

Clinical Medical Laboratory · Santa Rosa, CA

NPI number 1245565977 Active

Practice location

3883 Airway Drive, Suite 202
Santa Rosa, CA 95403-1671

Call (707) 521-8900 Map

Fax (707) 523-1302

Mailing address

1700 California Street, Suite 530
San Francisco, CA 94109-4591

Specialties and licenses

Taxonomy	Code	License
Clinical Medical Laboratory Primary	291U00000X	None listed

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 det…

2 other providers at this address

Other clinical medical laboratory providers in Santa Rosa

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NPI record

NPI: 1245565977
Entity type: Organization (Type 2)
Issued: Oct 14, 2009
Last updated: May 21, 2010
Status: Active
Subpart: Yes of Sutter West Bay Medical Foundation

Other names

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Sutter Pacific Medical Foundation · doing business as

Authorized official

Mr. John B. Gates
Chief Financial Officer
(415) 600-7771

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1245565977

Sutter West Bay Medical Foundation's National Provider Identifier is 1245565977, issued on Oct 14, 2009. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Santa Rosa, CA. The record was last updated on May 21, 2010.