Concentric Diagnostics LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CONCENTRIC DIAGNOSTICS LLC

Practice address

3030 Bunker Hill St
San Diego, CA 92109-5754

Phone

(619) 838-7908

NPI assigned

Jun 25, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jason Hansen

Title

Ceo

Phone

(619) 838-7908

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561420800000",
    "number": "1013578517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 EMERALD BAY",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926511234",
            "telephone_number": "619-838-7908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 BUNKER HILL ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921095754",
            "telephone_number": "619-838-7908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCENTRIC DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-25",
        "last_updated": "2019-06-25",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-838-7908"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara T Conboy, PHD, CCC-SLP
• Melissa S Conboy, CMT
• Samantha Conboy, CCH
• Paulo Conceicao
• Joseph M Concellosi, LCSW
• Danielle Concepcion-Rosengren
• Anna Garcia Concepcion, PA-C
• Edmund Turla Concepcion, PA
• Gina Marie Concepcion, MA
• Jerikka Concepcion

• Clinical Medical Laboratory in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.