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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BLAYNE MICHAEL VIDRINE

Active

BLAYNE MICHAEL VIDRINE is a Medical Laboratory Technician healthcare provider located in LA JOLLA, California. NPI 1760147656 is currently active in the NPPES registry. Verify at CMS.

Medical Laboratory Technician · LA JOLLA, CA

Registration Details

NPI Number
1760147656
Provider Type
Individual
Gender
Male
NPI Issued
Nov 4, 2021 (4.7313470873604 yrs)
Last Updated
Nov 4, 2021

Practice Information

Address
9850 GENESEE AVE STE 210
LA JOLLA, CA, 920371206
Browse CA providers · Browse ZIP 92037
Phone
8585351075
Fax
8584523283
Primary Specialty
Medical Laboratory Technician
246ZS0410X

Other Medical Laboratory Technician Providers in LA JOLLA, CA

Name Credential NPI
MARCO ORTIZ 1508522103
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.