Organization
SUN GENOMICS, INC.
Active
Other names
Flore Laboratories
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAURABH GOMBAR M.D., PH.D. (LAB DIRECTOR)
(317) 850-2234
Entity
Organization
Contact information
Practice address
5151 SHOREHAM PL STE 180, SAN DIEGO, CA 92122-5961
(661) 888-4799
Mailing address
5151 SHOREHAM PL STE 105, SAN DIEGO, CA 92122-5939
(661) 888-4799
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D2194956
CLIA
CA
Enumeration date
01/19/2021
Last updated
03/22/2023
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