Organization · Type 2 NPI

Rady Children's Hospital Research Center

Clinical Medical Laboratory · San Diego, CA

NPI number 1679103873 Active

Practice location

7910 Frost St Ste 240
San Diego, CA 92123-2781

Call (858) 966-8127 Map

Mailing address

3020 Childrens Way # MC5129
San Diego, CA 92123-4223

Specialties and licenses

Taxonomy	Code	License
Clinical Molecular Genetics Physician	207SG0203X	None listed
Clinical Laboratory Director (Non-physician)	247ZC0005X	None listed
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…

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NPI record

NPI: 1679103873
Entity type: Organization (Type 2)
Issued: Jan 16, 2020
Last updated: May 2, 2025
Status: Active
Subpart: Yes of Rady Children's Health

Other names

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Rady Children's Institute for Genomic Medicine · doing business as
Rady Children's Institute for Genomic Medicine · doing business as

Authorized official

Lynn Perez
SVP, Executive Director
(858) 576-1700

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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 1679103873

Rady Children's Hospital Research Center's National Provider Identifier is 1679103873, issued on Jan 16, 2020. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in San Diego, CA. The record was last updated on May 2, 2025.