Organization
DOT LABORATORIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER BOWERMAN (CEO)
(415) 534-9976
Entity
Organization
Contact information
Practice address
780 E MAIN ST STE 1, BRANFORD, CT 06405-2956
(415) 534-9976
Mailing address
3749 BUCHANAN ST # 340, SAN FRANCISCO, CA 94123-1710
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
541714
CT TAX REGISTRATION NUMBER
CT
Enumeration date
06/12/2020
Last updated
06/12/2020
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