Organization · NPI-2

Altheadx, INC.

Clinical Medical Laboratory · San Diego, CA

NPI number1528490240
StatusActive
Last updated in NPPESMay 1, 2020

Details

NPI
1528490240
Entity type
Organization (NPI-2)
Legal business name
Altheadx, INC.
Organization subpart
No
Enumeration date
Aug 5, 2013
Certification date
May 1, 2020
Last updated
May 1, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
291U00000X Clinical Medical Laboratory––Yes

Practice location

3030 Bunker Hill St Ste 300
San Diego, CA 92109-5754

Phone 858-224-7200 · Fax 858-569-0708

Mailing address

3030 Bunker Hill St Ste 300
San Diego, CA 92109-5754

Phone 858-224-7200 · Fax 858-569-0708

Authorized official

David Nikodem
Ceo
8582247200

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