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
KIMBERLY T WILLIAMS (VICE PRESIDENT)
(800) 222-7566
Entity
Organization
Contact information
Practice address
3595 JOHN HOPKINS CT, SAN DIEGO, CA 92121-1121
(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
CLF00339964
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003115419A
—
GA
05
—
004122500
—
FL
05
—
0056345
—
OH
01
—
032136
STATE OF PENNSYLVANIA CLINICAL LABORATORY LICENSE
PA
01
—
05D2015356
CLIA
CA
05
—
100022595
—
WI
05
—
10026203300
—
NE
05
—
1020915
—
VT
05
—
102377695-002
—
PA
05
—
137226
—
AL
05
—
1527595
—
TN
01
—
1728
MARYLAND MEDICAL LABORATORY PERMIT
MD
05
—
1730481078
—
CT
05
—
1730481078
—
IA
05
—
1730481078
—
ID
05
—
1730481078
—
ME
05
—
1730481078
—
MI
05
—
1730481078
—
MN
05
—
1730481078
—
MO
05
—
1730481078
—
MT
05
—
1730481078
—
UT
05
—
1730481078
—
VA
05
—
1730481078
—
WY
05
—
200311320B
—
OK
05
—
200656570 B
—
KS
05
—
200958790 B
—
IN
05
—
20123744
—
NM
05
—
2017818
—
WA
05
—
2192639
—
LA
05
—
296651
—
NJ
05
—
30809688
—
NH
05
—
323717401
—
TX
05
—
3708683
—
NY
05
—
3810023520
—
WV
05
—
4192451 01
—
MD
05
—
6231868
—
MS
05
—
660597
—
AZ
05
—
7001452
—
NC
05
—
7100190660
—
KY
05
—
71028300
—
DC
01
—
7527138
COLLEGE OF AMERICAN PATHOLOGISTS (CAP)
—
05
—
770365889-002
—
IL
01
—
800026127
STATE OF FLORIDA CLINICAL LABORATORY LICENSE
FL
05
—
92038026
—
CO
01
—
CLF00339964
CLINICAL LABORATORY LICENSE
CA
01
—
FV093A
MEDICARE PTAN
CA
05
—
L00343
—
SC
05
—
LB011CA
—
AK
01
—
LCO 00657
RHODE ISLAND CLINICAL LABORATORY LICENSE
RI
01
—
PFI: 8557
STATE OF NEW YORK CLINICAL LABORATORY PERMIT
NY
Enumeration date
11/18/2010
Last updated
07/20/2017
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