Organization
BIOTHERANOSTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOLLY DASGHAIB MD (MEDICAL DIRECTOR)
(858) 587-5885
Entity
Organization
Contact information
Practice address
6333 SEQUENCE DR, SAN DIEGO, CA 92121-4320
(844) 319-8111
(858) 587-5871
Mailing address
PO BOX 749249, LOS ANGELES, CA 90074-9249
(877) 886-6739
(858) 587-5871
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
334843
CA
291U00000X
Clinical Medical Laboratory
CALIFORNIA CFL334843
CA
291U00000X
Clinical Medical Laboratory
Primary
CLIA 05D1065725
CA
Other
Enumeration date
03/15/2007
Last updated
01/12/2026
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