GLEN THOMAS HANSEN PH.D
NPI 1013786425
Pathology - Clinical Laboratory Director, Non-physician in San Diego, CA

Active since December 27, 2023
10581 ROSELLE ST, SAN DIEGO, CA 92121(858) 258-9493 Get Directions Write a Review

NPPES record last updated: December 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Glen Thomas Hansen Ph.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLEN THOMAS HANSEN PH.D (NPI 1013786425) is an individual clinical laboratory director, non-physician in San Diego, California and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1013786425
Entity TypeIndividualMale
Primary Taxonomy247ZC0005X
Provider Legal NameGLEN THOMAS HANSENCredential: PH.D
Location Address10581 ROSELLE STSan Diego, CA 92121-1519
Mailing Address4665 Goldenrod Ln NMinneapolis, MN 55442-2493 · (161) 275-1210
Sole ProprietorYes
Enumeration DateDecember 27, 2023
NPPES CertifiedDecember 27, 2023
NPI 1013786425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Clinical Laboratory Director, Non-physicianTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247ZC0005X
Definition
An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.
10581 ROSELLE ST, San Diego, CA 92121

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glen Hansen's NPI number?

The NPI number for Glen Hansen is 1013786425. It was assigned to this individual provider in the NPPES registry on December 27, 2023.

Where is Glen Hansen located?

Glen Hansen practices at 10581 Roselle St, San Diego, CA 92121. The listed phone number is (858) 258-9493.

What is Glen Hansen's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Laboratory Director, Non-physician, with taxonomy code 247ZC0005X.

When was this NPI record last updated?

The NPPES record for Glen Hansen was last updated on December 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.