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Organization

PHYPRO LABS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DONALD SIMPSON M.D., PHD (MEDICAL DIRECTOR)
(408) 275-1741
Entity
Organization

Contact information

Practice address
1310 TULLY RD, SUITE 109, SAN JOSE, CA 95122-3054
(408) 275-1741
(888) 704-1339
Mailing address
1310 TULLY RD, SUITE 109, SAN JOSE, CA 95122-3054
(408) 275-1741
(888) 704-1339

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CFL 342180
CA

Other

Enumeration date
03/01/2012
Last updated
03/01/2012
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