Micronoma INC.
Clinical Medical Laboratory in San Diego, CA. Organization (NPI-2).
NPI number1265036610
StatusActive
Last updated in NPPESMay 24, 2023
Details
- NPI
- 1265036610
- Entity type
- Organization (NPI-2)
- Legal business name
- Micronoma INC.
- Organization subpart
- No
- Enumeration date
- Nov 25, 2020
- Certification date
- May 24, 2023
- Last updated
- May 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | – | Yes |
Other names
- Micronoma (Doing Business As)
Practice location
6342 Ferris SqSan Diego, CA 92121-3207
Phone 858-353-7016
Mailing address
6342 Ferris SqSan Diego, CA 92121-3207
Phone 858-241-1318
Authorized official
Sandrine Miller-Montgomery
Ceo
8583537016
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