Healthcare Provider Details

I. General information

NPI: 1336076348
Provider Name (Legal Business Name): SILICON VALLEY CLINICAL LAB SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 STEWART DR # 283
SUNNYVALE CA
94085-4513
US

IV. Provider business mailing address

830 STEWART DR # 283
SUNNYVALE CA
94085-4513
US

V. Phone/Fax

Practice location:
  • Phone: 346-481-7964
  • Fax:
Mailing address:
  • Phone: 346-481-7964
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: MR. SAI PRASHANTH PATTERI
Title or Position: OWNER
Credential:
Phone: 346-481-7964