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Contact Information

SIMPLIFY GENOMICS CLINICAL LABORATORY
440 STEVENS AVENUE, SUITE 200
SOLANA BEACH, CA92075
 Phone: 847-668-8090
 Fax: 888-443-4153
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Medical Laboratory

291U00000X 69 Clinical Laboratory
Indicates primary specialty

NPI Profile & details for SIMPLIFY GENOMICS CLINICAL LABORATORY

NPI # 1104364983
LBN Legal business name SIMPLIFY GENOMICS CLINICAL LABORATORY
Authorized official TRAVIS LACEY - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/01/2017
Last updated 01/09/2024 - About 2 years ago
Identifiers
CA Other CLF-00353852 CDPH CLINICAL AND PUBLIC HEALTH LABORATORY LICENSE
CA Other 05D2167801 CLIA
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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