Metamark Genetics, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

2674 Issued in MD

Legal business name

METAMARK GENETICS, INC

Practice address

1912 TW Alexander Drive Rooms 243 & 250
Durham, NC 27709

Phone

(855) 420-8243

Fax

(301) 259-5781

NPI assigned

Jul 29, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Sathish Kothandaram

Title

C.E.O

Phone

(301) 715-3805

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1501286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1447774641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 VIRGINIA MANOR ROAD SUITE 170",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "20705",
            "telephone_number": "855-420-8243",
            "fax_number": "301-259-5781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 TW ALEXANDER DRIVE ROOMS 243 & 250",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27709",
            "telephone_number": "855-420-8243",
            "fax_number": "301-259-5781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METAMARK GENETICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-29",
        "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": "C.E.O",
        "authorized_official_telephone_number": "301-715-3805",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MD",
            "license": "2674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS",
            "identifier": "34D2130056",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Todd Meske, MSN, AGPC-NP
• Nicole J. Messenger, DMD
• James Messersmith
• Katherine Briana Messikomer
• Metabolon, Inc.
• Metanoia Spa LLC
• Jessica R Metcalf, MSN, NNP-BC
• Tanner S Metcalfe, MD
• Shaye Metrick-Chen
• Metro Treatment of North Carolina L P

• All providers in Durham, NC
• Clinical Medical Laboratory in North Carolina

• 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.