Organization
BIOGENOMICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAQSOOD AHMED MD (MANAGING PARTNER)
(252) 702-0190
Entity
Organization
Contact information
Practice address
502 MCKNIGHT DR, STE 200A, KNIGHTDALE, NC 27545-7050
(252) 388-8588
Mailing address
502 MCKNIGHT DR, STE 200, KNIGHTDALE, NC 27545-7050
(919) 295-5580
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
34D2085246
NC
Other
Enumeration date
11/06/2014
Last updated
09/22/2015
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