Organization
DANNER LABORATORY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS DANNER (CEO)
(858) 552-1508
Entity
Organization
Contact information
Practice address
5230 CARROLL CANYON RD STE 114, SAN DIEGO, CA 92121-1779
(858) 552-1508
Mailing address
5230 CARROLL CANYON RD STE 114, SAN DIEGO, CA 92121-1779
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLF10140
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LAB58827F
—
CA
01
—
ZZZ05502Z
BLUE SHIELD ID #
CA
Enumeration date
06/30/2006
Last updated
11/28/2012
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