Organization
NANTOMICS LLC
Active
Organization
NANTOMICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT WATSON (PRESIDENT)
(310) 853-7426
Entity
Organization
Contact information
Practice address
9922 JEFFERSON BLVD., STE 100, CULVER CITY, CA 90232-3506
(310) 853-7426
Mailing address
9922 JEFFERSON BLVD., STE 100, CULVER CITY, CA 90232-3506
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
05D2085379
CA
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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