Organization
APPLIED PROTEOMICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF BLACK (CHIEF FINANCIAL OFFICER)
(858) 999-2800
Entity
Organization
Contact information
Practice address
3545 JOHN HOPKINS CT, SUITE 150, SAN DIEGO, CA 92121-1112
(858) 999-2800
(858) 202-6176
Mailing address
3545 JOHN HOPKINS CT, SUITE 150, SAN DIEGO, CA 92121-1112
(858) 999-2800
(858) 202-6176
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
05D2074504
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CLF 00345493
CA STATE LICENSE
CA
Enumeration date
09/25/2015
Last updated
09/25/2015
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