Organization
PRECISION TOXICOLOGY, LLC
Active
Other names
Precision Diagnostics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIGUEL GALLEGO (CEO)
(800) 635-6901
Entity
Organization
Contact information
Practice address
49 STATE RD STE 103N, DARTMOUTH, MA 02747-3303
(800) 635-6901
(858) 228-9909
Mailing address
6755 MIRA MESA BLVD STE 123-153, SAN DIEGO, CA 92121-4392
(800) 635-6901
(858) 228-9909
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110129278A
—
MA
01
—
22D2133197
CLIA REGISTRATION
MA
01
—
5434
CLINICAL LAB LICENSE
MA
Enumeration date
08/25/2017
Last updated
06/03/2024
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