Organization
US SPECIALTY LABS LP
Active
Organization
US SPECIALTY LABS LP
Active
Other names
US Specialty Labs
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN ANDRUS (COO)
(858) 837-1192
Entity
Organization
Contact information
Practice address
15150 AVENUE OF SCIENCE, SUITE 100, SAN DIEGO, CA 92128
(858) 209-2300
Mailing address
15150 AVENUE OF SCIENCE, SUITE 100, SAN DIEGO, CA 92128
(858) 209-2300
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
05D2053446
CA
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D2053446
CLIA
CA
Enumeration date
04/19/2013
Last updated
06/13/2022
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