GLEN THOMAS HANSEN PH.D NPI 1013786425

NPI Information

NPI: 1013786425
Provider Name: GLEN THOMAS HANSEN, PH.D
Classification: Pathology - 247ZC0005X
Entity Type: Individual

Specialization: Clinical Laboratory Director, Non-physician

Address:
10581 ROSELLE ST
SAN DIEGO, CA
ZIP 92121
Phone: (858) 258-9493
Get Directions

Glen Thomas Hansen, PH.D is a clinical laboratory director and non-physician pathology in San Diego, CA. The provider is an individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405. Glen Thomas Hansen, PH.D NPI is 1013786425. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10581 ROSELLE ST
SAN DIEGO, CA
ZIP 92121-519
Phone: (858) 258-9493

The enumeration date for this NPI number is 12/27/2023 and was last updated on 12/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	247ZC0005X	Pathology	Clinical Laboratory Director, Non-physician			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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