Organization
MEDICINE INVENTION DESIGN INCORPORATION
Active
Other names
Telehealth - Online Clinical Trial
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAN XU M.D. / PH.D. / FAPCR (PRESIDENT/CEO/SD/PI/SPONSOR/CHAIR)
(301) 222-7143
Entity
Organization
Contact information
Practice address
5545 BURNSIDE DR, ROCKVILLE, MD 20853-2458
(301) 222-7143
(866) 458-0099
Mailing address
5545 BURNSIDE DR, ROCKVILLE, MD 20853-2458
(301) 222-7143
(866) 458-0099
Taxonomy
Speciality
Code
Description
License number
State
174V00000X
Clinical Ethicist
—
—
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
—
—
251B00000X
Case Management Agency
—
—
261Q00000X
Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
261QR1100X
Research Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
302R00000X
Health Maintenance Organization
Primary
—
—
333600000X
Pharmacy
—
—
3336I0012X
Institutional Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336M0003X
Managed Care Organization Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
69891
FDA-NDC-LABELER-CODE
MD
01
—
D11379922
MD-SDAT
MD
01
—
FWA00015357
HHS-OHRP-FWA
MD
01
—
IORG0007849
HHS-OHRP-IORG
MD
01
—
IRB00009294
HHS-OHRP-IRB
MD
Enumeration date
12/23/2011
Last updated
03/24/2025
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