Organization
PROGENITY INC.
Active
Organization
PROGENITY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOWARD SLUTSKY (SENIOR VICE PRESIDENT)
(855) 293-2639
Entity
Organization
Contact information
Practice address
5230 S STATE RD, ANN ARBOR, MI 48108-7936
(855) 293-2639
(248) 848-1623
Mailing address
5230 S STATE RD, ANN ARBOR, MI 48108-7936
(855) 293-2639
(248) 848-1623
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23 D 2018899
CLIA
MI
01
—
7534637-01
CAP
MI
Enumeration date
01/11/2011
Last updated
09/23/2013
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