MEDICARE: SIEMENS CLINICAL LABORATORY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory	CLF10781	CA
2	291U00000X	Clinical Medical Laboratory	733	MD
3	291U00000X	Clinical Medical Laboratory	PFI4995	NY
4	291U00000X	Clinical Medical Laboratory	023005	PA
5	291U00000X	Clinical Medical Laboratory	LCO00477	RI
6	291U00000X	Clinical Medical Laboratory	HIV-RL-23	WV
7	291U00000X	Clinical Medical Laboratory	800007851	FL
8	291U00000X	Clinical Medical Laboratory	05D0888918	CA

General Provider Information

NPI Number	:	1659552776
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SIEMENS CLINICAL LABORATORY

Provider Business Mailing Address
First Line	:	725 POTTER ST
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94710-2722
Country	:	US
Telephone Number	:	510-982-4200
Fax Number	:	510-982-4203

Provider Business Practice Location Address
First Line	:	725 POTTER ST
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94710-2722
Country	:	US
Telephone Number	:	510-982-4200
Fax Number	:	510-982-4203

Authorized Official
Title or Position	:	DIRECTOR, SIEMENS CLINICAL LAB
Name	:	MS. JAN TURCZYN
Credential	:
Telephone Number	:	510-982-4215

Provider Enumeration Date	:	11/16/2007
Last Update Date	:	02/01/2016

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Directions to “SIEMENS CLINICAL LABORATORY ” Practice Location

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