Shady Grove Andrology Center Llc in Rockville - Clinical Medical Laboratory

Shady Grove Andrology Center Llc - NPI 1487776274

Shady Grove Andrology Center Llc is a Clinical Medical Laboratory in Rockville, Maryland. Shady Grove Andrology Center Llc practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for Shady Grove Andrology Center Llc is 1487776274. The last update date is 2018-03-30.

Shady Grove Andrology Center Llc's current location address is 9600 Blackwell Rd Ste 500, Rockville, Maryland. You can contact this provider via phone number 3013401188 and fax number 3013401612. The mailing address for Shady Grove Andrology Center Llc is 9600 Blackwell Rd Ste 500, Rockville, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Organization Shady Grove Andrology Center Llc
Address 9600 Blackwell Rd Ste 500, Rockville, Maryland
Phone Number 3013401188
Fax Number 3013401612
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CHIEF FINA
Authorized Official Name Shapiro Shelly
Telephone Number 3015451407

NPI Number Detail

NPI Number 1487776274
Provider Enumeration Date 2007-04-04
Last Updated Date 2018-03-30

Provider Mailing Address Detail

Address 9600 Blackwell Rd Ste 500
City Rockville
State Maryland (MD)
Post Code 208503783
Phone Number 3013401188
Fax Number 3013401612

Provider's Primary Taxonomy Detail

Speciality Clinical Medical Laboratory
Taxonomy 291U00000X
Licence No 7629
Definition:
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purp

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FAQs about Shady Grove Andrology Center Llc

What is the unique identification code assigned to Shady Grove Andrology Center Llc by the Centers for Medicare & Medicaid Services?

The Shady Grove Andrology Center Llc has been issued the NPI (National Provider Identifier) 1487776274. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Shady Grove Andrology Center Llc?

The Shady Grove Andrology Center Llc is situated at 9600 Blackwell Rd Ste 500, in the city of Rockville, state of MD, with the zip code 208503783.

What is Shady Grove Andrology Center Llc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Shady Grove Andrology Center Llc's area of specialization is Clinical Medical Laboratory, and the corresponding taxonomy code that categorizes this field of practice is 291U00000X.

On what date did Shady Grove Andrology Center Llc receive its 1487776274 assignment from the Centers for Medicare & Medicaid Services?

The Shady Grove Andrology Center Llc was assigned its 1487776274 on 2007-04-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Shady Grove Andrology Center Llc most recently updated or revised?

The information pertaining to Shady Grove Andrology Center Llc, including its address, specialty, and other relevant details, was last updated or revised on 2018-03-30.

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