Organization
MIRA DX INC
Active
Organization
MIRA DX INC
Active
Other names
3primiR, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOANNE BARNES WEIDHAAS M.D., PH.D. (FOUNDER)
(424) 387-8100
Entity
Organization
Contact information
Practice address
11601 WILSHIRE BLVD., SUITE 105 PLAZA LEVEL, LOS ANGELES, CA 90025
(424) 387-8100
(424) 387-8101
Mailing address
11601 WILSHIRE BLVD., SUITE 2410, LOS ANGELES, CA 90025
(424) 387-8100
(424) 387-8101
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
07D2006340
CA
291U00000X
Clinical Medical Laboratory
CL-0672
CT
Other
Enumeration date
10/13/2010
Last updated
11/05/2024
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