Sutter Valley Medical Foundation
Clinical Medical Laboratory in Santa Rosa, CA. Organization (NPI-2).
NPI number1861693566
StatusActive
Last updated in NPPESOct 28, 2026
Details
- NPI
- 1861693566
- Entity type
- Organization (NPI-2)
- Legal business name
- Sutter Valley Medical Foundation
- Organization subpart
- No
- Enumeration date
- May 30, 2007
- Certification date
- Oct 28, 2026
- Last updated
- Oct 28, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | – | Yes |
Practice location
3536 Mendocino AveSuite 300
Santa Rosa, CA 95403-3634
Phone 707-571-1280 · Fax 707-578-5849
Mailing address
15620 Healdsburg AveHealdsburg, CA 95448-9617
Phone 707-475-4531 · Fax 707-473-4559
Authorized official
Leia M Sanders
Sr Director, Cred, Enroll, Alignmen
6509347000
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