Organization · Type 2 NPI

University of Southern California

Clinical Medical Laboratory · Los Angeles, CA

NPI number 1568595684 Active

Practice location

1441 Eastlake Avenue, Room 5409
Los Angeles, CA 90033

Call (323) 865-0563 Map

Fax (323) 865-0122

Mailing address

PO Box 513199
Los Angeles, CA 90051-1199

Specialties and licenses

Taxonomy	Code	License
Clinical Medical Laboratory Primary	291U00000X	05D0684670 (CA)

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…

4 other providers at this address

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NPI record

NPI: 1568595684
Entity type: Organization (Type 2)
Issued: Mar 14, 2007
Last updated: Oct 28, 2026
Status: Active
Subpart: Yes of University of Southern California

Other names

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Usc Breast Cancer Analysis Laboratory · doing business as

Authorized official

Todd Dickey
SR VP - Administration
(213) 740-8184

Verify this record

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 1568595684

University of Southern California's National Provider Identifier is 1568595684, issued on Mar 14, 2007. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 28, 2026.