| NPI Details | |
|---|---|
| NPI | 1073642641 |
| Enumeration Date | 03/02/2007 |
| Last Updated | 09/02/2015 |
| Entity Type | Healthcare Provider |
| Active | Over 11 years ago |
| Authorized Information | |
|---|---|
| Name | JENNY JENNY |
| Position | GENERAL COUNSEL AND COMPLIANCE OFFI |
| Phone | (858) 824-0895 |
| Fax | (858) 824-0896 |
| Practice Location | |
|---|---|
| 9410 CARROLL PARK DR SAN DIEGO CA, 92121-5201, US |
|
| Phone | (858) 824-0895 |
| Fax | (858) 824-0896 |
| Business Location | |
|---|---|
| 9410 CARROLL PARK DR SAN DIEGO CA, 92121-5201, US |
|
| Phone | (858) 824-0895 |
| Fax | (858) 824-0896 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 291U00000X |
| License State | California |
| License Number | 05D0917432 |
| Remove 1073642641 NPI Number | |
According to our database, Prometheus Laboratories Inc. NPI is 1073642641, taxonomy code is 291U00000X and license number is 05D0917432, license state is located at California. Prometheus Laboratories Inc. physically located at 9410 Carroll Park Dr, San Diego CA, 92121-5201. NPI Number 1033115704 has the healthcare provider type.
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1073642641 NPI number is provided on an as is basis without warranty of any kind. 1073642641 is maintained by the National Plan & Provider Enumeration System. The contents of Prometheus Laboratories Inc. are for informational purposes only.
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