MEDICARE: SET LABS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1033876982
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SET LABS LLC

Provider Business Mailing Address
First Line	:	6725 MESA RIDGE RD STE 240
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92121-2925
Country	:	US
Telephone Number	:	858-472-5590
Fax Number	:

Provider Business Practice Location Address
First Line	:	6725 MESA RIDGE RD STE 240
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92121-2925
Country	:	US
Telephone Number	:	858-472-5590
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	DR. LOGANATHAN DORAISAMY
Credential	:	PH.D
Telephone Number	:	858-472-5590

Provider Enumeration Date	:	11/25/2021
Last Update Date	:	12/15/2022

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Directions to “SET LABS LLC ” Practice Location

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