Organization
PRECISION TOXICOLOGY, LLC
Active
Other names
Precision Diagnostics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIGUEL GALLEGO (CEO)
(800) 635-6901
Entity
Organization
Contact information
Practice address
4215 SORRENTO VALLEY BLVD STE 100, SAN DIEGO, CA 92121-1408
(800) 635-6901
(858) 228-9909
Mailing address
6755 MIRA MESA BLVD, STE 123-153, SAN DIEGO, CA 92121-4392
(800) 635-6901
(858) 228-9909
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D2054760
CLIA ACCREDITATION
CA
05
—
1730466590
—
CA
01
—
800026849
FLORIDA CLINICAL LICENSE
FL
01
—
8719436
CAP
CA
01
—
HK270A
MEDICARE PTAN
CA
Enumeration date
11/08/2011
Last updated
06/03/2024
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