Organization
EXPRESSION PATHOLOGY INCORPORATED
Active
Organization
EXPRESSION PATHOLOGY INCORPORATED
Active
Other names
OncoPlex Diagnostics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS GEOFFREY GUIEL (CHIEF OPERATING OFFICER)
(301) 977-3654
Entity
Organization
Contact information
Practice address
9620 MEDICAL CENTER DR, SUITE 100, ROCKVILLE, MD 20850-3338
(301) 977-3654
(301) 926-9283
Mailing address
9620 MEDICAL CENTER DR, SUITE 100, ROCKVILLE, MD 20850-3338
(301) 977-3654
(301) 926-9283
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
21D2043150
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1872
MEDICAL LABORATORY PERMIT
MD
01
—
21D2043150
CLIA ID NUMBER
—
Enumeration date
08/13/2012
Last updated
09/28/2012
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