Organization
UCSD MED-CYTOGENETICS
Active
Organization
UCSD MED-CYTOGENETICS
Active
Other names
UCSD REGENTS OF CALIFORNIA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIE DELL'AQUILA PHD PHD (DIRECTOR)
(858) 534-4308
Entity
Organization
Contact information
Practice address
9500 GILMAN DRIVE, MAIL CODE 0639, LA JOLLA, CA 92093-0639
(858) 534-4308
(858) 534-0269
Mailing address
9500 GILMAN DR, MAIL CODE 0639, LA JOLLA, CA 92093-0639
(858) 534-4308
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
05D0643070
CA
291U00000X
Clinical Medical Laboratory
Primary
CLF4717
CA
291U00000X
Clinical Medical Laboratory
CLIA05D0643070
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LAB43070F
—
CA
Enumeration date
11/02/2005
Last updated
08/01/2008
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