American Gene Technologies International Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

AMERICAN GENE TECHNOLOGIES INTERNATIONAL INC

Doing business as

Agt

Practice address

9713 Key West Ave Ste 500-024
Rockville, MD 20850-3918

Phone

(301) 337-2100

NPI assigned

Dec 27, 2020

Last updated

Jan 15, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey Adam Galvin

Title

Ceo

Phone

(301) 337-2100

Specialties & licenses 1

Addresses

Other names 1

• AGT Doing business as

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

{
    "created_epoch": "1609027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610668800000",
    "number": "1518554450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9713 KEY WEST AVE STE 500",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503996",
            "telephone_number": "301-337-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9713 KEY WEST AVE STE 500-024",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503918",
            "telephone_number": "301-337-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN GENE TECHNOLOGIES INTERNATIONAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-27",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A",
        "authorized_official_last_name": "GALVIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-337-2100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AGT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Rockville, MD
• Providers in Rockville, MD by specialty
• Clinical Medical Laboratory in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; 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.