Organization Active NPI

Mprobe Inc

  • Clinical Medical Laboratory
  • Rockville, MD
National Provider Identifier
1033749296
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MPROBE INC
Practice address
9600 Medical Center Dr Ste 300
Rockville, MD 20850-6329
Phone
(301) 977-3654
Fax
(833) 985-0131
NPI assigned
Jan 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Thomas Geoffrey Guiel
Title
Operations Director
Phone
(301) 977-3654

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

9600 Medical Center Dr Ste 300
Rockville, MD 20850-6329

Mailing address

9600 Medical Center Dr Ste 300
Rockville, MD 20850-6329
Phone (301) 977-3654

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201109000726 DC Part B Supplier - Independent Clinical Laboratory 9335559095 Practice locations: Rockville, MD

National Provider Directory

National Provider Directory

Locations

9600 Medical Center Dr
Ste 30
Rockville, MD 20850
Phone (301) 977-3654

9600 Medical Center Dr
Ste 300
Rockville, MD 20850
Phone (301) 977-3654

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579132800000",
    "number": "1033749296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 MEDICAL CENTER DR STE 300",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506329",
            "telephone_number": "301-977-3654",
            "fax_number": "833-985-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 MEDICAL CENTER DR STE 300",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506329",
            "telephone_number": "301-977-3654",
            "fax_number": "833-985-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MPROBE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-16",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A",
        "authorized_official_last_name": "GUIEL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "GEOFFREY",
        "authorized_official_title_or_position": "OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "301-977-3654"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.