Organization
FOUNDATION MEDICINE, INC.
Active
Parent organization
FOUNDATION MEDICINE, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
FOUNDATION MEDICINE, INC.
Authorized official
BAHAREH JAFARI (SENIOR MANAGER, REVENUE)
(781) 707-6322
Entity
Organization
Contact information
Practice address
7010 KIT CREEK RD, MORRISVILLE, NC 27560-9761
(617) 418-2200
Mailing address
150 2ND ST, CAMBRIDGE, MA 02141-2115
(617) 418-2200
(617) 418-2290
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34D2044309
CLIA
NC
Enumeration date
06/07/2016
Last updated
11/10/2020
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