Organization
MACROGEN CLINICAL LABORATORY INC.
Active
Organization
MACROGEN CLINICAL LABORATORY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUNGHYUN KIM (LABORATORY TECHNICAL SUPERVISOR)
(301) 251-1007
Entity
Organization
Contact information
Practice address
1330 PICCARD DR STE 103, ROCKVILLE, MD 20850-4372
(301) 251-1007
(301) 251-4006
Mailing address
1330 PICCARD DR STE 103, ROCKVILLE, MD 20850-4372
(301) 251-1007
(301) 251-4006
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
2026
MD
291U00000X
Clinical Medical Laboratory
COS00800505
CA
Other
Enumeration date
03/26/2015
Last updated
03/26/2015
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