Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prometheus Laboratories Inc

Organization Clinical Medical Laboratory · NPI 1073642641

Prometheus Laboratories Inc is a Clinical Medical Laboratory in San Diego, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9410 Carroll Park Dr
San Diego, CA 92121-5201
Phone: (858) 824-0895
Fax: (858) 824-0896
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X · Licence 05D0917432 (CA)
Clinical Medical Laboratory Taxonomy 291U00000X

Record details

NPI number1073642641
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Patricia Vasquez — Svp, Commercial And Corp. Developme · (858) 587-4128
NPI enumeratedMarch 2, 2007
Last updated in NPPESJune 21, 2023
Certification dateJune 21, 2023
Mailing address9410 Carroll Park Dr, San Diego, CA 92121-5201

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