Organization Active NPI

Metamark Genetics, Inc

  • Clinical Medical Laboratory
  • Cambridge, MA
National Provider Identifier
1043631377
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
3356 Issued in MA
Legal business name
METAMARK GENETICS, INC
Practice address
245 First St
Suite 150
Cambridge, MA 02142-1200
Phone
(617) 583-1400
Fax
(617) 583-1401
NPI assigned
Jan 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Authorized official

Name
Sathish Kothandaram
Title
Ceo
Phone
(301) 715-3805

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 3356 MA Primary

Addresses

Primary practice location

245 First St
Suite 150
Cambridge, MA 02142-1200

Mailing address

245 First St
Suite 150
Cambridge, MA 02142-1200
Phone (617) 583-1400

National Provider Directory

National Provider Directory

Locations

245 1st St
Ste 150
Cambridge, MA 02142
Phone (617) 583-1400

245 1st St
Ste 10
Cambridge, MA 02142

NPI Registry JSON

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

{
    "created_epoch": "1388966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1043631377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 FIRST ST",
            "address_2": "SUITE 150",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021421200",
            "telephone_number": "617-583-1400",
            "fax_number": "617-583-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 FIRST ST",
            "address_2": "SUITE 150",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021421200",
            "telephone_number": "617-583-1400",
            "fax_number": "617-583-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METAMARK GENETICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-06",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "KOTHANDARAM",
        "authorized_official_first_name": "SATHISH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-715-3805"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MA",
            "license": "3356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.