Miracor Diagnostics, INC.
Physiological Laboratory in San Diego, CA. Organization (NPI-2).
NPI number1508970070
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1508970070
- Entity type
- Organization (NPI-2)
- Legal business name
- Miracor Diagnostics, INC.
- Organization subpart
- No
- Enumeration date
- Aug 19, 2006
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 293D00000X | Physiological Laboratory | – | CA | Yes |
Practice location
9191 Towne Centre DrSuite 400
San Diego, CA 92122-1225
Phone 858-455-7127 · Fax 858-455-7295
Mailing address
9191 Towne Centre DrSuite 400
San Diego, CA 92122-1225
Phone 858-455-7127 · Fax 858-455-7295
Authorized official
Leslie G. Weber
Coo
8584557127
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