Organization
PSOMAGEN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIWON LEE PHD (ADMINISTRATIVE DIRECTOR)
(301) 251-1007
Entity
Organization
Contact information
Practice address
1330 PICCARD DRIVE, SUITE 103, ROCKVILLE, MD 20850-9993
(301) 251-1007
(301) 251-4006
Mailing address
1330 PICCARD DRIVE, SUITE 103, ROCKVILLE, MD 20850-9993
(301) 251-1007
(301) 251-4006
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
06/29/2016
Last updated
05/01/2020
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