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SUSAN P DETWILER MD INC NPI 1962611350


NPI Information

NPI: 1962611350
Provider Name: SUSAN P DETWILER MD INC
Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization
Address:
7110 CAMINITO PEPINO
LA JOLLA, CA
ZIP 92037
Phone: (858) 539-7300
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SUSAN P DETWILER MD 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. SUSAN P DETWILER MD INC NPI is 1962611350. The provider is registered as an organization entity type.

The provider's business location address is:

7110 CAMINITO PEPINO
LA JOLLA, CA
ZIP 92037-721
Phone: (858) 539-7300
Fax: (858) 539-7305

The provider's authorized official is Susan P Detwiler .
The authorized official title is President and has the following contact phone number (858) 539-7300.

The enumeration date for this NPI number is 5/22/2007 and was last updated on 2/18/2009.


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 LaboratoryG75321CALIFORNIAYes

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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