Active NPI
Mprobe Inc
- Clinical Medical Laboratory
- Rockville, MD
National Provider Identifier
1033749296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201109000726 | DC | Part B Supplier - Independent Clinical Laboratory | 9335559095 | Practice locations: Rockville, MD |
National Provider Directory
National Provider DirectoryLocations
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.