Organization
PRECISION TOXICOLOGY, LLC
Active
Other names
Precision Diagnostics
Organization subpart
No
Provider details
NPI number
Authorized official
MIGUEL GALLEGO (CEO)
(800) 635-6901
Entity
Organization
Contact information
Practice address
836 FARMINGTON AVE, SUITE 212, WEST HARTFORD, CT 06119-1505
(800) 635-6901
(858) 228-9909
Mailing address
6755 MIRA MESA BLVD, SUITE 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
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114319563
—
CT
Enumeration date
02/23/2015
Last updated
06/03/2024
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