Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Glen Thomas Hansen, PHD

Individual provider Clinical Laboratory Director (Non-physician) · NPI 1013786425

Glen Thomas Hansen, PHD is a Clinical Laboratory Director (Non-physician) in San Diego, California. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

10581 Roselle St
San Diego, CA 92121-1519
Phone: (858) 258-9493
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Laboratory Director (Non-physician) (primary) Taxonomy 247ZC0005X

Record details

NPI number1013786425
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedDecember 27, 2023
Last updated in NPPESDecember 27, 2023
Certification dateDecember 27, 2023
Mailing address4665 Goldenrod Ln N, Minneapolis, MN 55442-2493

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