Organization
ILLUMINA, INC
Active
Other names
Illumina Clinical Services Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP COTTER PH.D., FACMG (DIRECTOR OF CLINICAL LABORATORY)
(858) 736-3564
Entity
Organization
Contact information
Practice address
5200 ILLUMINA WAY, SAN DIEGO, CA 92122-4616
(858) 736-3564
Mailing address
5200 ILLUMINA WAY, SAN DIEGO, CA 92122-4616
(858) 736-3564
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
031445
PA
291U00000X
Clinical Medical Laboratory
1620
MD
291U00000X
Clinical Medical Laboratory
800026847
FL
291U00000X
Clinical Medical Laboratory
Primary
CLF00338066
CA
291U00000X
Clinical Medical Laboratory
LCO00706
RI
Other
Enumeration date
11/30/2015
Last updated
11/30/2015
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