Organization
ASCENDA BIOSCIENCES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN C STOUT (VP OPERATIONS)
(678) 580-0613
Entity
Organization
Contact information
Practice address
2001 WESTSIDE PKWY STE 240, ALPHARETTA, GA 30004
(678) 580-0613
(470) 375-3701
Mailing address
PO BOX 589, SOUDERTON, PA 18964-0589
(678) 580-0613
(678) 580-0613
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003145374A
—
GA
05
—
00858259
—
MS
05
—
1093053571
—
VA
05
—
170450
—
AL
05
—
291U00000X
—
NC
05
—
4946006
—
MD
Enumeration date
01/18/2013
Last updated
07/12/2018
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