HOME LAB SERVICES (NPI# 1629131511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629131511 |
| Entity Type | Organization |
| Organization Name | HOME LAB SERVICES |
| Practice Address |
2205 Post St San Francisco CA 94115-3427 |
| Mailing Address |
1554 19th Ave San Francisco CA 94122-3417 |
| Practice Telephone | 4152992225 |
| Practice Fax Number | 4159310905 |
| Mailing Telephone | 1415299222 |
| Mailing Fax Number | 4159310905 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | VLADYSLAV BEZRUCHKO (OWNER) |
| Authorized Official Telephone | 14152992225 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246RP1900X |
Technician, Pathology Specialization: Phlebotomy |
Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BUSINESS CERTIFICATE # | 394809 | 01 |
| Street Address |
2205 POST ST |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94115-3427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659856177 | Breiana Ashlyn Brady | Physician Assistant | 2205 Post St, San Francisco, CA 94115-3427 | 2018-10-01 |
| 1366944704 | Ephraim Dickinson Md, Inc | Orthopaedic Surgery | 2205 Post St, San Francisco, CA 94115-3427 | 2018-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619593274 | Francene G Colvin | Psychologist | 1939 Divisadero, Suite 1, San Francisco, CA 94115 | 2020-06-19 |
| 1760015689 | Simon James Little | Psychiatry & Neurology | 1634 Divisadero St, Suite 250, San Francisco, CA 94115 | 2020-02-19 |
| 1881243822 | Clara Kwun | Social Worker | 1610 Scott St., San Francisco, CA 94115 | 2019-09-11 |
| 1467005207 | Tamara Aline Hostetler | Marriage & Family Therapist | 2859 Sacramento St., San Francisco, CA 94115 | 2019-07-22 |
| 1962054999 | Wendy Lynne Stern | Psychologist | 2104 Bush St., San Francisco, CA 94115 | 2019-07-10 |
| 1184188476 | Katherine Marie Carroll | Specialist/Technologist | 1731 B Buchanan Street, San Francisco, CA 94115 | 2019-01-30 |
| 1710467410 | Joanna Katherine Hendrick | Marriage & Family Therapist | 1201 Fillmore Street, San Francisco, CA 94115 | 2018-08-21 |
| 1063998771 | Leonard Cheung | Counselor | Youth Services Bureau of San Francisco, 1426 Fillmore Street Suite 216, San Francisco, CA 94115 | 2018-07-16 |
| 1942709563 | Jobelle Cunanan | Behavior Technician | 1871 Turk St, San Francisco, CA 94115 | 2018-02-09 |
| 1083128235 | Dr. Jenny Mann, Nd | Clinic/Center | 2300 Sutter St Ste 301, San Francisco, CA 94115 | 2017-11-27 |
| Find all providers in zip 94115 | ||||
| Taxonomy Code | 246RP1900X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Pathology |
| Specialization | Phlebotomy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609351212 | Salustiano Ribeiro | Technician, Pathology | 50 Jerrold Ave Apt 311, San Francisco, CA 94124-3045 | 2018-09-28 |
| 1508300526 | Morgan Wolf | Technician, Pathology | 2460 22nd St, Ward 94, San Francisco, CA 94110-2815 | 2016-12-09 |
| 1811329048 | Noname Pubuzhuoga | Technician, Pathology | 2460 22nd St,bldg 90, 4th Floor, Tb Clinic, San Francisco, CA 94110 | 2013-07-30 |
| 1184056376 | Felix Antonio Crespin | Technician, Pathology | 1001 Potrero Avenue -san Francisco General Hospital, Ward 94, Building 90 - 4th Floor, San Francisco, CA 94110 | 2013-07-30 |
| 1841520160 | Hanley Chan | Technician, Pathology | 1355 Fairfax Ave # B, San Francisco, CA 94124-1731 | 2010-01-08 |
| 1972088581 | Bay Area Pl Services | Technician, Pathology | 50 Jerrold Ave Apt 311, San Francisco, CA 94124-3045 | 2018-09-28 |
| 1740767771 | Shannon M Silva | Technician, Pathology | 1625 Carroll Ave, San Francisco, CA 94124-3219 | 2018-07-23 |
| 1992101885 | Irla Chico | Technician, Pathology | 1625 Carroll Ave, San Francisco, CA 94124-3219 | 2014-11-05 |
| 1881094217 | Israel De Jesus Diosdado | Technician, Pathology | 2712 Mission St, San Francisco, CA 94110-3104 | 2014-09-04 |
| 1710302377 | George Taylor | Technician, Pathology | 1625 Carroll Ave, San Francisco, CA 94124-3219 | 2014-02-19 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94115 |
Please comment or provide details below to improve the information on HOME LAB SERVICES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.