Us Specialty Lab

NPI 1487098562 - Clinical Medical Laboratory - 291U00000X

NPI Details
NPI 1487098562
Enumeration Date 04/19/2013
Last Updated 04/01/2016
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name TIMOTHY TIMOTHY
Position PRESIDENT
Phone (858) 249-8630
Fax
Practice Location
11578 SORRENTO VALLEY RD
SUITE 27
SAN DIEGO CA, 92121-1311, US
Phone (858) 249-8630
Fax
Business Location
11578 SORRENTO VALLEY RD
SUITE 27
SAN DIEGO CA, 92121-1311, US
Phone
Fax
Toxanomy
Taxonomy Code 291U00000X
License State California
License Number 05D2053446
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According to our database, Us Specialty Lab NPI is 1487098562, taxonomy code is 291U00000X and license number is 05D2053446, license state is located at California. Us Specialty Lab physically located at 11578 Sorrento Valley Rd, San Diego CA, 92121-1311. NPI Number 1033115704 has the healthcare provider type.

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1487098562 NPI number is provided on an as is basis without warranty of any kind. 1487098562 is maintained by the National Plan & Provider Enumeration System. The contents of Us Specialty Lab are for informational purposes only.