MICRONOMA INC. NPI 1265036610

NPI Information

MICRONOMA INC. 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. MICRONOMA INC. NPI is 1265036610. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Micronoma.

The provider's business location address is:

6342 FERRIS SQ
SAN DIEGO, CA
ZIP 92121-207
Phone: (858) 353-7016

The provider's authorized official is Sandrine Miller-montgomery .
The authorized official title is Ceo and has the following contact phone number (858) 353-7016.

The CLIA number assigned to this NPI record is 05D2253538 - independent with a certificate type of Certificate of Registration.

The enumeration date for this NPI number is 11/25/2020 and was last updated on 10/22/2021.

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:

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