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DERMTECH OPERATIONS INC. NPI 1598173502


NPI Information

NPI: 1598173502
Provider Name: DERMTECH OPERATIONS, INC.

Former Legal Business Name: DERMTECH INTERNATIONAL, INC.

Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization

CLIA Number: 05D2073519

Address:
11099 N TORREY PINES RD
SUITE 100
LA JOLLA, CA
ZIP 92037
Phone: (858) 450-4222
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DERMTECH OPERATIONS, INC. is a clinical medical laboratory in La Jolla, CA. The provider is (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. DERMTECH OPERATIONS, INC. NPI is 1598173502. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Dermtech International, Inc..

The provider's business location address is:

11099 N TORREY PINES RD
SUITE 100
LA JOLLA, CA
ZIP 92037-029
Phone: (858) 450-4222
Fax: (858) 200-3877

The provider's authorized official is John Dobak .
The authorized official title is President And Ceo and has the following contact phone number (858) 450-4222.

The CLIA number assigned to this NPI record is 05D2073519 - independent with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 7/23/2014 and was last updated on 11/22/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1291U00000XClinical Medical LaboratoryCLF00345694CALIFORNIAYes

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: 11/14/2023

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