Provider Demographics
NPI:1033876982
Name:SET LABS LLC
Entity Type:Organization
Organization Name:SET LABS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:LOGANATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DORAISAMY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:858-472-5590
Mailing Address - Street 1:6725 MESA RIDGE RD STE 240
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92121-2925
Mailing Address - Country:US
Mailing Address - Phone:858-472-5590
Mailing Address - Fax:
Practice Address - Street 1:6725 MESA RIDGE RD STE 240
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92121-2925
Practice Address - Country:US
Practice Address - Phone:858-472-5590
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-25
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory