Sequenom Center For Molecular Medicine Llc, NPI 1639426281
Clinical Medical Laboratory in Morrisville, NC, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1639426281
NPI Entity Type Organization
Provider Name Sequenom Center For Molecular Medicine Llc
Doing Business As
Subpart of Organization Sequenom Inc.
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 7010 Kit Creek Rd, (physical Only - No Usps Mail Delivery), Morrisville, NC, US
Provider Mailing Address 3595 John Hopkins Ct, San Diego, CA, US, 921211121
Is Sole Proprietor? No
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Organization Official

Official Name PHD Dirk Van Den Boom
Official Position PRESIDENT
Phone 858-202-9051

Primary Taxonomy

Taxonomy Code

291U00000X

Taxonomy Name Clinical Medical Laboratory
Classification

Clinical Medical Laboratory

Group

Laboratories

License No. 34D2044309
License State NC
Description (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.

Other Organization Name

Sequenom Laboratories
Doing Business As

Business Address

Sequenom Center For Molecular Medicine Llc
7010 Kit Creek Rd
(physical Only - No Usps Mail Delivery)

Morrisville, NC, US

Phone: 858-202-9051
Fax: 858-408-7847

Mailing Address

Sequenom Center For Molecular Medicine Llc
3595 John Hopkins Ct
San Diego, CA, US
ZIP 921211121
Phone: 858-202-9051
Fax: 858-408-7847

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
1639426281 MI MEDICAID 05
1639426281 IA MEDICAID 05
468862 AZ MEDICAID 05
L00366 SC MEDICAID 05
LCO000772 RI STATE OF RHODE ISLAND, DOH OFFICE OF FACILITIES REGULATION, LAB LICENSE 01
100263398-00 NE MEDICAID 05
1639426281 ME MEDICAID 05
34D2044309 NC CLIA 01
7001489 NC MEDICAID 05
MA102377695-003 PA MEDICAID 05
323804001 TX MEDICAID 05
3910005749 WV MEDICAID 05
COS 00800469 CA STATE OF CALIFORNIA DEPT OF PUBLIC HEALTH, CLINICAL LAB LICENSE 01
033220 PA STATE OF PENNSYLVANIA, DOH, CLINICAL LAB PERMIT 01
853726 AZ MEDICAID 05
0080201 OH MEDICAID 05
06785780 MS MEDICAID 05
1639426281 WA MEDICAID 05
1639426281 UT MEDICAID 05
200311320 C OK MEDICAID 05
200656570D KS MEDICAID 05
200958790C IN MEDICAID 05
3089901 NH MEDICAID 05
38871564 CO MEDICAID 05
7100257370 KY MEDICAID 05
9921200 FL MEDICAID 05
003131635A GA MEDICAID 05
085542800 DC MEDICAID 05
1023532 VT MEDICAID 05
1639426281 WI MEDICAID 05
2027 MD STATE OF MARYLAND CLINICAL LABORATORY PERMIT 01
770365889-003 IL MEDICAID 05
800026876 FL STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION, LAB LICENSE 01
8666040 COLLEGE OF AMERICAN PATHOLOGISTS (CAP) ACCREDITATION 01
0348244 NJ MEDICAID 05
1639426281 WY MEDICAID 05
1639426281 VA MEDICAID 05
4192451-02 MD MEDICAID 05
10084550 NM MEDICAID 05
150243 AL MEDICAID 05
1639426281 ID MEDICAID 05
C201222100195-1 NC NORTH CAROLINA CERTIFICATE OF AUTHORITY (LLC) 01
LB011NC AK MEDICAID 05

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Organization

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Individual

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PT Leslie Michelle Murray Mullins

Individual

Physical Therapist

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