Organization
SEQUENOM CENTER FOR MOLECULAR MEDICINE LLC
Active
Parent organization
SEQUENOM INC.
Other names
Sequenom Laboratories
Organization subpart
Yes
Provider details
NPI number
Legal business name
SEQUENOM INC.
Authorized official
DIRK VAN DEN BOOM PHD (PRESIDENT)
(858) 202-9051
Entity
Organization
Contact information
Practice address
7010 KIT CREEK RD, (PHYSICAL ONLY - NO USPS MAIL DELIVERY), MORRISVILLE, NC 27560-9761
(858) 202-9051
(858) 408-7847
Mailing address
3595 JOHN HOPKINS CT, SAN DIEGO, CA 92121-1121
(858) 202-9051
(858) 408-7847
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
34D2044309
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003131635A
—
GA
05
—
0080201
—
OH
01
—
033220
STATE OF PENNSYLVANIA, DOH, CLINICAL LAB PERMIT
PA
05
—
0348244
—
NJ
05
—
06785780
—
MS
05
—
085542800
—
DC
05
—
100263398-00
—
NE
05
—
10084550
—
NM
05
—
1023532
—
VT
05
—
150243
—
AL
05
—
1639426281
—
IA
05
—
1639426281
—
ID
05
—
1639426281
—
ME
05
—
1639426281
—
MI
05
—
1639426281
—
UT
05
—
1639426281
—
VA
05
—
1639426281
—
WA
05
—
1639426281
—
WI
05
—
1639426281
—
WY
05
—
200311320 C
—
OK
05
—
200656570D
—
KS
05
—
200958790C
—
IN
01
—
2027
STATE OF MARYLAND CLINICAL LABORATORY PERMIT
MD
05
—
3089901
—
NH
05
—
323804001
—
TX
01
—
34D2044309
CLIA
NC
05
—
38871564
—
CO
05
—
3910005749
—
WV
05
—
4192451-02
—
MD
05
—
468862
—
AZ
05
—
7001489
—
NC
05
—
7100257370
—
KY
05
—
770365889-003
—
IL
01
—
800026876
STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION, LAB LICENSE
FL
05
—
853726
—
AZ
01
—
8666040
COLLEGE OF AMERICAN PATHOLOGISTS (CAP) ACCREDITATION
—
05
—
9921200
—
FL
01
—
C201222100195-1
NORTH CAROLINA CERTIFICATE OF AUTHORITY (LLC)
NC
01
—
COS 00800469
STATE OF CALIFORNIA DEPT OF PUBLIC HEALTH, CLINICAL LAB LICENSE
CA
05
—
L00366
—
SC
05
—
LB011NC
—
AK
01
—
LCO000772
STATE OF RHODE ISLAND, DOH OFFICE OF FACILITIES REGULATION, LAB LICENSE
RI
05
—
MA102377695-003
—
PA
Enumeration date
08/13/2012
Last updated
03/30/2016
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