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Organization

CIRCULOGENE THERANOSTICS, INC.

Active
Other names
Circulogene
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL V. MULLEN (CEO)
(855) 614-7083
Entity
Organization

Contact information

Practice address
219 E GARDEN ST STE 300, PENSACOLA, FL 32502-4806
(855) 614-7083
(855) 614-7084
Mailing address
PO BOX 830525, BIRMINGHAM, AL 35283-0525
(855) 614-7083
(855) 614-7084

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
19070
AL
Enumeration date
09/28/2022
Last updated
04/12/2023
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