Organization
CLONGEN LABORATORIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHMED FATHY KILANI PH.D. (PRESIDENT AND LABORATORY DIRECTOR)
(301) 916-0173
Entity
Organization
Contact information
Practice address
12321 MIDDLEBROOK RD, SUITE 120, GERMANTOWN, MD 20874-1591
(301) 916-0173
(301) 916-0175
Mailing address
12321 MIDDLEBROOK RD, SUITE 120, GERMANTOWN, MD 20874-1591
(301) 916-0173
(301) 916-0175
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
1206
MD
Other
Enumeration date
02/09/2009
Last updated
02/09/2009
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