Organization
CONCENTRIC DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON HANSEN (CEO)
(619) 838-7908
Entity
Organization
Contact information
Practice address
3030 BUNKER HILL ST, SAN DIEGO, CA 92109-5754
(619) 838-7908
Mailing address
1409 EMERALD BAY, LAGUNA BEACH, CA 92651-1234
(619) 838-7908
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
06/25/2019
Last updated
06/25/2019
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