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

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: July 26, 2026.

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

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
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

Other Identifiers 3

OtherZZZ59192ZBlue Shield
Medicaid162505709AR
MedicaidLAB17432FCA

Accepted Insurance

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

Other Providers at the Same Location NPPES

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

Medical Genetics, Ph.D. Medical Genetics
9410 CARROLL PARK DR
SAN DIEGO, CA 92121

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.

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 Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 8 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.