Organization
GENOME-BASED DIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS CRISMAN PHD, MS (PRESIDENT)
(831) 295-3272
Entity
Organization
Contact information
Practice address
2091 LAS PALMAS DR STE A, CARLSBAD, CA 92011-1551
(760) 487-8235
Mailing address
2091 LAS PALMAS DR STE A, CARLSBAD, CA 92011-1551
(760) 487-8235
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
04/12/2023
Last updated
01/23/2026
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