Organization
METAMARK GENETICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SATHISH KOTHANDARAM (C.E.O)
(301) 715-3805
Entity
Organization
Contact information
Practice address
1912 TW ALEXANDER DRIVE ROOMS 243 & 250, DURHAM, NC 27709
(855) 420-8243
(301) 259-5781
Mailing address
8000 VIRGINIA MANOR ROAD SUITE 170, BELTSVILLE, MD 20705
(855) 420-8243
(301) 259-5781
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
2674
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34D2130056
CMS
NC
Enumeration date
07/29/2017
Last updated
03/26/2024
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