Out-of-State Participating Independent Laboratories
Transcription
Out-of-State Participating Independent Laboratories
Out-of-State Participating Independent LaboratoriesLOCATION NPI PORTICO_I D_UDA NAME 1104829159 1215003603 1841375094 1699849786 1992779664 1932102027 1861568784 1669484473 1649264300 1346479169 1306025697 1952381477 1619940517 1225278906 1881630614 1649572017 1235132846 1003819020 1730481078 1639426281 1558672279 1376548271 1134165970 1518903350 1609812445 1891731626 1932166386 1790021517 G00000005907 LABORATORY CORPORATION OF AMERICA1565 S BYRNE STE RD105 Toledo OH G00017095000 GENOMIC HEALTH INC 301 PENOBSCOT DR Redwood CityCA G12000023305 TRANSGENOMIC INC 5 Science Park New Haven CT G12000041023 Litholink Corporation 2250 W Campbell Park Dr Chicago IL G12000043923 PERKINELMER LABS INC 80 Ruland RdSte 1 Melville NY G12000048463 Therapath LLC 545 W 45th St New York NY G12000049743 AMBRY GENETICS CORPORATION 7 Argonaut Aliso Viejo CA G12000050683 MYRIAD GENETIC LABORATORIES INC 320 S Wakara Way Salt Lake CityUT G12000051503 Clarient Diagnostic Services Inc 31 Columbia Laguna Hills CA G12000051603 COUNSYL INC 180 Kimball Way S San Fran CA G12000055283 AmeriPath Florida LLC 10500 UNIVERSITY STE 200CENTER Tampa DR FL G12000055343 Ameripath Florida LLC 895 SW 30th Ste Ave101 Pompano Beach FL G12000055363 AmeriPath Florida LLC 8150 Chancellor Ste Dr 110 Orlando FL G12000057623 PHYSICIANS CHOICE LABORATORY SERV 854 Paragon Way Rock Hill SC G12000061263 QUEST DIAGNOSTICS LLC IL 1335 N Mittel Blvd Wood Dale IL G12000065923 ESOTERIX GENETIC LABORATORIES LLC 3400 Computer Dr WestboroughMA G12000065943 ACCUPATH DIAGNOSTIC LABORATORIES INC 2601 Campus Dr Irvine CA G12000066143 DIANON SYSTEMS INC 1 Forest Pkwy Shelton CT G12000070223 SEQUENOM CENTER FOR MOLECULAR MEDICINE 3595 John LLC Hopkins Ct San Diego CA G12000070743 SEQUENOM CENTER FOR MOLECULAR MEDICINE 7010 Kit Creek LLC Rd Morrisville NC G12000079366 NATERA INC 201 IndustrialSte Rd 410 San Carlos CA G12000079944 ARUP LABORATORIES INC 500 S CHIPETA WAY Salt Lake CityUT G12000083485 LABONE OF OHIO INC 6700 Steger Dr Cincinnati OH G12000083486 QUEST DIAGNOSTICS CLINICAL LABORATORIES 10200 Commerce INC Pkwy Miramar FL G12000083487 LABONE INC 10101 Renner Blvd Lenexa KS G12000083488 QUEST DIAGNOSTICS CLINICAL LABORATORIES 4225 EINC Fowler Ave Tampa FL G12000083503 QUEST DIAGNOSTICS CLINICAL LABORATORIES 1777 MONTREAL INC CIR Tucker GA G12000086523 MOLECULAR TESTING LABS 14401 SE 1st ST Vancouver WA ADDR1 ADDR2 CITY STATE ZIP _TYPE_ UDA TRAD_ STATUS 43614 94063 06511 60612 11747 10036 92656 84108 92656 94080 33612 33069 32809 29730 60191 01581 92612 06484 92121 27560 94070 84108 45237 33025 66219 33617 30084 98684 PRF PRI PRI PRI PRI PRI PRI PRI PRI PRI PRI PRI PRI PRI PRI PRI PRI PRI PRI PRI PRI PRI PRI PRI PRI PRI PRI PRI PAR PAR PAR PAR PAR PAR PAR PAR PAR PAR PAR PAR PAR PAR PAR PAR PAR PAR PAR PAR PAR PAR PAR PAR PAR PAR PAR PAR TRAD START DATE 8/9/1973 9/2/2011 12/29/2010 3/26/2012 6/1/2012 4/25/2016 1/1/2011 7/1/2012 7/1/2012 5/6/2014 9/1/2012 9/1/2012 9/1/2012 3/31/2015 4/30/2014 6/28/2013 6/28/2013 6/28/2013 4/16/2014 6/1/2013 7/29/2015 5/5/2014 4/30/2014 4/30/2014 4/30/2014 4/30/2014 4/30/2014 8/25/2015 Plus Labs START DATE 7/1/1989 9/2/2011 12/29/2010 3/26/2012 7/1/2012 4/25/2016 10/1/2012 7/1/2012 7/1/2012 5/6/2014 9/1/2012 9/1/2012 9/1/2012 3/31/2015 5/1/2014 6/28/2013 6/28/2013 6/28/2013 4/16/2014 6/1/2013 7/31/2015 6/10/2014 5/1/2014 5/1/2014 5/1/2014 5/1/2014 5/1/2014 8/25/2015