Organization
SHADY GROVE CENTER FOR PREIMPLANTATION GENETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM KEARNS (DIRECTOR)
(301) 340-1188
Entity
Organization
Contact information
Practice address
15001 SHADY GROVE RD, SUITE 220, ROCKVILLE, MD 20850-6352
(301) 340-1188
(301) 340-6478
Mailing address
15001 SHADY GROVE RD, SUITE 220, ROCKVILLE, MD 20850-6352
(301) 340-1188
(301) 340-6478
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
1107
MD
Other
Enumeration date
04/04/2007
Last updated
08/22/2020
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