Organization
GENEDX LLC
Active
Other names
GeneDx, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE ANN MCGROGAN (PAYOR CREDENTIALING SPECIALIST)
(240) 658-0686
Entity
Organization
Contact information
Practice address
205 & 207 PERRY PKWY, GAITHERSBURG, MD 20877-2142
(301) 519-2100
(201) 421-2010
Mailing address
PO BOX 21997, NEW YORK, NY 10087-0001
(888) 729-1206
(201) 421-2010
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
870020
—
291U00000X
Clinical Medical Laboratory
Primary
953
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21D0969951
CMS CLIA CERTIFICATION
—
01
—
953
MARYLAND STATE LICENSE
MD
Enumeration date
01/04/2006
Last updated
01/27/2026
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