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GENEDX LLC NPI 1487632998


NPI Information

NPI: 1487632998
Provider Name: GENEDX LLC

Former Legal Business Name: GENEDX, INC.

Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization

CLIA Number: 21D0969951

Address:
207 PERRY PKWY
GAITHERSBURG, MD
ZIP 20877
Phone: (301) 519-2100
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GENEDX LLC is a clinical medical laboratory in Gaithersburg, MD. The provider is (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 purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. GENEDX LLC NPI is 1487632998. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Genedx, Inc..

The provider's business location address is:

207 PERRY PKWY
GAITHERSBURG, MD
ZIP 20877-142
Phone: (301) 519-2100
Fax: (301) 947-4251

The provider's authorized official is Kevin Feeley .
The authorized official title is Chief Financial Officer and has the following contact phone number (301) 519-2100.

The CLIA number assigned to this NPI record is 21D0969951 - independent with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 1/4/2006 and was last updated on 7/6/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1170100000XMedical Genetics, Ph.D. Medical Genetics870020No
2291U00000XClinical Medical Laboratory953MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
121D0969951OTHERCMS CLIA CERTIFICATION
2953OTHERMARYLANDMARYLAND STATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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