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Organization

BIOGNOMICS LAB, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALVIN VELARDE (OWNER/CHIEF OPERATING OFFICER)
(949) 677-7101
Entity
Organization

Contact information

Practice address
16485 LAGUNA CANYON RD STE 125, IRVINE, CA 92618-3837
(949) 932-0966
Mailing address
16485 LAGUNA CANYON RD STE 125, IRVINE, CA 92618-3837
(949) 932-0966

Taxonomy

Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary

Other

Enumeration date
04/13/2021
Last updated
04/14/2021
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