PROMETHEUS LABORATORIES INC.
NPI 1073642641
Clinical Medical Laboratory in San Diego, CA

Q: What is Prometheus Laboratories Inc.'s NPI number?

The NPI number for Prometheus Laboratories Inc. is 1073642641. It was assigned to this organization in the NPPES registry on March 2, 2007.

Q: What is Prometheus Laboratories Inc.'s specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Active since March 02, 2007CLIA 05D0917432 · Accreditation

9410 CARROLL PARK DR, SAN DIEGO, CA 92121(858) 824-0895(858) 824-0896 Get Directions Write a Review

NPPES record last updated: June 21, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 21, 2023, May 24, 2023, Feb 5, 2021 (3 updates tracked since 2021).

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About Prometheus Laboratories Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROMETHEUS LABORATORIES INC. (NPI 1073642641) is a healthcare organization registered as a clinical medical laboratory in San Diego, California and active in the NPI registry since March 2007. The organization holds an CLIA Accreditation certificate valid through April 28, 2028 and lists Patricia Vasquez, Svp, Commercial And Corp. Developme, as its authorized official.

NPPES Registry Identity

NPI1073642641

Entity TypeOrganization

Primary Taxonomy291U00000X

Legal Business NamePROMETHEUS LABORATORIES INC.

Location Address9410 CARROLL PARK DRSan Diego, CA 92121-5201

Mailing Address9410 Carroll Park DrSan Diego, CA 92121-5201 · (858) 824-0895 · Fax (858) 824-0896

Phone(858) 824-0895

Fax(858) 824-0896

Organization SubpartNo

Authorized OfficialPatricia VasquezSvp, Commercial And Corp. Developme · (858) 587-4128

Enumeration DateMarch 2, 2007

Last NPPES UpdateJune 21, 20233 updates tracked since enumeration

NPPES CertifiedJune 21, 2023

✔ NPI 1073642641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Medical LaboratoryLaboratories

Taxonomy Code291U00000X

License✔ Licensed in CA · 05D0917432

Definition

(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

9410 CARROLL PARK DR, San Diego, CA 92121

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Other Identifiers 3

OtherZZZ59192ZBlue Shield

Medicaid162505709AR

MedicaidLAB17432FCA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prometheus Laboratories Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateCaliforniaEnrollment IDO20060329000784Non-DME Part B · Independent Clinical LaboratoryDue dateOctober 31, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 05D0917432

Prometheus Laboratories, Inc · San Diego, CA

Active · expires Apr 28, 2028

CLIA Number05D0917432

Laboratory TypeIndependent

Certificate Effective DateApril 29, 2026

Certificate Expiration DateApril 28, 2028

Laboratory DirectorDr. Kendal J. Jensen

Laboratory Phone(858) 587-4124

Laboratory LocationPrometheus Laboratories, Inc9410 Carroll Park Dr, San Diego, CA 92121

CLIA data matches this NPI record on: Address Name

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Areas of Expertise CMS Part B claims 16

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Measurement of substance using immunoassay technique 83520

An immunoassay technique is a laboratory method used to detect and measure specific substances in the body. This is done by using antibodies that can recognize and bind to these substances. The results can help in diagnosing and monitoring various health conditions.

5,029 services998 patients

Chemical analysis using chromatography technique 82542

Chromatography is a lab technique used to separate mixtures. It helps identify substances within a sample. In simple terms, think of it as a race where different substances move at different speeds, allowing them to be identified and studied.

1,457 services1,276 patients

Analysis using chemiluminescent technique (light and chemical )reaction 82397

Chemiluminescent analysis is a lab test that uses a special reaction between certain chemicals to produce light. This light is then measured to help understand specific elements in a sample. It is a non-invasive and highly accurate testing method.

1,179 services601 patients

Measurement c-reactive protein for detection of infection or inflammation 86140

C-reactive protein (CRP) test is a blood test that checks for signs of inflammation or infection in the body. High levels of CRP often suggest that there's inflammation or a bacterial infection. This test helps in monitoring and managing conditions like arthritis and heart disease.

641 services641 patients

Antibody evaluation, initial single antibody stain procedure 88346

An antibody evaluation, initial single antibody stain procedure is a laboratory test. It's designed to identify specific proteins, or antibodies, in your body. This can help diagnose certain conditions or monitor your immune system's response to treatments. The procedure involves staining a single type of antibody for detection.

554 services554 patients

Antibody evaluation, each additional single antibody stain procedure 88350

An antibody evaluation involves testing a sample of your body fluid (like blood) to identify specific antibodies. Each additional single antibody stain procedure is a separate test for another specific antibody. This helps in diagnosing various health conditions by understanding your body's immune response.

552 services552 patients

Measurement of infliximab 80230

Measurement of infliximab involves analyzing your blood to determine the level of infliximab, a medication used to treat certain autoimmune conditions. This helps ensure the medication is working effectively and to monitor for potential side effects.

495 services411 patients

Measurement of vedolizumab 80280

Measurement of vedolizumab involves checking the levels of this medication in your body. Vedolizumab is a drug used to treat certain bowel conditions. Accurate measurement helps ensure the medication is working effectively and safely.

391 services356 patients

Hla class ii typing high resolution one locus 81382

HLA Class II Typing High Resolution One Locus is a genetic test. It's used to identify specific proteins on your cells that play a critical role in your immune system's function. It helps in matching organ and bone marrow donors and recipients.

346 services173 patients

Detection of gliadin (deamidated) (dgp) antibody 86258

The detection of Deamidated Gliadin Peptide (dgp) antibody is a blood test that helps diagnose celiac disease, an autoimmune disorder. It identifies antibodies produced by the immune system in response to a protein found in wheat and other grains.

272 services136 patients

Measurement of adalimumab 80145

Adalimumab measurement is a lab test that checks the level of adalimumab, a medication used to treat conditions like arthritis and Crohn's disease, in your body. This helps ensure you're getting the right dose for effective treatment.

219 services202 patients

Nephelometry, test method using light 83883

Nephelometry is a lab test method using light to measure particles in a liquid. This method helps in identifying substances like proteins in your blood or urine. It's essential for diagnosing various health conditions. The procedure is safe and typically quick.

210 services209 patients

Quantitation of therapeutic drug 80299

Quantitation of therapeutic drugs is a test that measures the amount of specific drugs in your body to ensure they're at levels that can effectively treat your health condition. It helps tailor your medication dosage for maximum benefit and minimal side effects.

174 services164 patients

Detection of endomysial antibody (ema) 86231

The detection of endomysial antibody (EMA) is a blood test used to identify certain autoantibodies. These can indicate conditions like celiac disease, where the body's immune system reacts to gluten. The test aids in diagnosis and monitoring of such conditions.

136 services136 patients

Gammaglobulin (immune system protein) measurement 82784

Gammaglobulin measurement is a blood test that checks the levels of certain proteins (gammaglobulins) that the body uses to fight infections. High or low levels can indicate various health conditions. It's a simple, quick procedure with minimal discomfort.

135 services135 patients

Measurement of tissue transglutaminase 86364

Measurement of tissue transglutaminase is a blood test used to help diagnose conditions like celiac disease. It checks for certain antibodies that your body might produce if you have these conditions. It's a simple, non-invasive procedure.

134 services134 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MATTHEW JEROME MCGINNISS PHD FACMG

Medical Genetics, Ph.D. Medical Genetics

9410 CARROLL PARK DR
SAN DIEGO, CA 92121

San Diego County (858) 882-5986

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prometheus Laboratories Inc.'s NPI number?

The NPI number for Prometheus Laboratories Inc. is 1073642641. It was assigned to this organization in the NPPES registry on March 2, 2007.

Where is Prometheus Laboratories Inc. located?

Prometheus Laboratories Inc. is located at 9410 Carroll Park Dr, San Diego, CA 92121. The listed phone number is (858) 824-0895.

What is Prometheus Laboratories Inc.'s specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Is Prometheus Laboratories Inc. enrolled in Medicare?

Yes. Prometheus Laboratories Inc. is registered in the Medicare PECOS enrollment system.

When is Prometheus Laboratories Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Independent Clinical Laboratory) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Prometheus Laboratories Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 05D0917432) is associated with this NPI, valid through April 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Prometheus Laboratories Inc. accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and AvMed and 7 other insurers list Prometheus Laboratories Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Prometheus Laboratories Inc. was last updated on June 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.