Organization
CYNOGEN, INC.
Active
Other names
PersonalizeDx
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HALLIE A STOHLER (OFFICE ADMIN)
(949) 587-7516
Entity
Organization
Contact information
Practice address
25901 COMMERCENTRE DR, LAKE FOREST, CA 92630-8805
(877) 429-6643
(949) 587-7502
Mailing address
25901 COMMERCENTRE DR, LAKE FOREST, CA 92630-8805
(877) 429-6643
(949) 587-7502
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLF00339441
CA
291U00000X
Clinical Medical Laboratory
—
CA
Other
Enumeration date
04/19/2010
Last updated
09/14/2017
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