Organization
MONOGRAM BIOSCIENCES, INC
Active
Organization
MONOGRAM BIOSCIENCES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY T WILLIAMS (VICE PRESIDENT)
(800) 222-7566
Entity
Organization
Contact information
Practice address
347 OYSTER POINT BLVD, SOUTH SAN FRANCISCO, CA 94080-1992
(800) 777-0177
Mailing address
PO BOX 2240, BURLINGTON, NC 27216-2240
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D2168795
CLIA
—
Enumeration date
09/06/2019
Last updated
09/06/2019
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