ST. JOSEPH SATELLITE HEALTHCARE
NPI 1790229318
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Orange, CA
About St. Joseph Satellite Healthcare NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ST. JOSEPH SATELLITE HEALTHCARE (NPI 1790229318) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Orange, California and active in the NPI registry since December 2016. The organization holds a CLIA Certificate of Compliance certificate valid through July 31, 2026 and lists Thomas L Weinberg, Chairman, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Dialysis Facility Compare Information
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D0579910
- Facility Type
- Physician Office
- Certificate Effective Date
- October 28, 2021
- Certificate Expiration Date
- July 31, 2026
- Laboratory Director
- MADHAVI MUMMANENI MD
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to St. Joseph Satellite Healthcare after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
ORANGE, CA 92868
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790229318, enumerated as an "organization" on December 16, 2016.
The provider is located at 1518 W LA VETA AVE ORANGE, CA 92868 and the phone number is (714) 285-9675.
Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.