Organization
THERANOSTICS HEALTH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD STEPHEN HENCIN PH.D. (VP BUSINESS DEVELOPMENT)
(301) 251-4443
Entity
Organization
Contact information
Practice address
15010 BROSCHART RD, SUITE 200, ROCKVILLE, MD 20850-6365
(301) 251-4443
(301) 251-4446
Mailing address
15010 BROSCHART RD, SUITE 200, ROCKVILLE, MD 20850-6365
(301) 251-4443
(301) 251-4446
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
52868
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1618045
AU ID - COLLEGE OF AMERICAN PATHOLOGISTS (CAP)
MD
01
—
21D1084125
CLIA
MD
01
—
8006327
LAP - COLLEGE OF AMERICAN PATHOLOOGISTS (CAP)
MD
Enumeration date
03/14/2014
Last updated
03/14/2014
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