Organization
ESOTERIX, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM B HAYES (EVP/TREASURER)
(800) 222-7566
Entity
Organization
Contact information
Practice address
6255 FERRIS SQ, SUITE D, SAN DIEGO, CA 92121-3232
(512) 225-1109
Mailing address
PO BOX 2240, BURLINGTON, NC 27216-2240
(800) 222-7566
(336) 436-1048
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LAB58814F
—
CA
Enumeration date
12/29/2005
Last updated
08/24/2007
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