NPIMap

Organization Active NPI

Miracor Diagnostics, Inc.

  • Physiological Laboratory
  • San Diego, CA
National Provider Identifier
1508970070
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
MIRACOR DIAGNOSTICS, INC.
Practice address
9191 Towne Centre Dr
Suite 400
San Diego, CA 92122-1225
Phone
(858) 455-7127
Fax
(858) 455-7295
NPI assigned
Aug 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Leslie G. Weber
Title
Coo
Phone
(858) 455-7127

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X CA Primary

Addresses

Primary practice location

9191 Towne Centre Dr
Suite 400
San Diego, CA 92122-1225

Mailing address

9191 Towne Centre Dr
Suite 400
San Diego, CA 92122-1225
Phone (858) 455-7127

National Provider Directory

National Provider Directory
Tax ID family
Miracor Diagnostics Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9191 Towne Centre Dr
Ste 400
San Diego, CA 92122
Phone (858) 455-7127

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1508970070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9191 TOWNE CENTRE DR",
            "address_2": "SUITE 400",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921221225",
            "telephone_number": "858-455-7127",
            "fax_number": "858-455-7295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9191 TOWNE CENTRE DR",
            "address_2": "SUITE 400",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921221225",
            "telephone_number": "858-455-7127",
            "fax_number": "858-455-7295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACOR DIAGNOSTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "858-455-7127"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.