Organization
SUN GENOMICS, INC.
Active
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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