Healthcare Provider Details

I. General information

NPI: 1699455527
Provider Name (Legal Business Name): ZOLL LABORATORY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2023
Last Update Date: 06/02/2025
Certification Date: 06/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 RINGWOOD AVE STE J
SAN JOSE CA
95131-1728
US

IV. Provider business mailing address

2000 RINGWOOD AVE STE J
SAN JOSE CA
95131-1728
US

V. Phone/Fax

Practice location:
  • Phone: 408-352-6000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR0208X
TaxonomyMobile Radiology Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code293D00000X
TaxonomyPhysiological Laboratory
License Number
License Number State

VIII. Authorized Official

Name: SHARON KIM
Title or Position: VICE PRESIDENT, REIMBURSEMENT
Credential:
Phone: 412-968-3383