Organization
SOURCE BIOSCIENCE INC
Active
Organization
SOURCE BIOSCIENCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL YU MS, MBA, MLS (ASCP) (LAB CONSULTANT)
(626) 236-2706
Entity
Organization
Contact information
Practice address
6696 MESA RIDGE RD STE B, SAN DIEGO, CA 92121-2950
(858) 344-7993
Mailing address
6696 MESA RIDGE RD STE B, SAN DIEGO, CA 92121-2950
(858) 344-7993
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
10/16/2021
Last updated
10/16/2021
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