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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