Organization
SUNRAY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW LEE (MANAGER)
(949) 359-5669
Entity
Organization
Contact information
Practice address
34249 CAMINO CAPISTRANO STE 185, CAPISTRANO BEACH, CA 92624-1156
(949) 359-5669
(949) 315-3252
Mailing address
2850 PIO PICO DR STE E, CARLSBAD, CA 92008-1556
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D2208800
CLIA
—
Enumeration date
02/10/2021
Last updated
02/24/2021
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