NPIMap

Organization Active NPI

Macrogen Clinical Laboratory Inc.

  • Clinical Medical Laboratory
  • Rockville, MD
National Provider Identifier
1720472889
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
2026 Issued in MD
Legal business name
MACROGEN CLINICAL LABORATORY INC.
Practice address
1330 Piccard Dr Ste 103
Rockville, MD 20850-4372
Phone
(301) 251-1007
Fax
(301) 251-4006
NPI assigned
Mar 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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

Authorized official

Name
Dr. Junghyun Kim
Title
Laboratory Technical Supervisor
Phone
(301) 251-1007

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 2026 MD Primary
Clinical Medical Laboratory 291U00000X COS00800505 CA

Addresses

Primary practice location

1330 Piccard Dr Ste 103
Rockville, MD 20850-4372

Mailing address

1330 Piccard Dr Ste 103
Rockville, MD 20850-4372
Phone (301) 251-1007

National Provider Directory

National Provider Directory

Locations

1330 Piccard Dr
Ste 103
Rockville, MD 20850
Phone (301) 251-1007

NPI Registry JSON

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427328000000",
    "number": "1720472889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 PICCARD DR STE 103",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208504372",
            "telephone_number": "301-251-1007",
            "fax_number": "301-251-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 PICCARD DR STE 103",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208504372",
            "telephone_number": "301-251-1007",
            "fax_number": "301-251-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACROGEN CLINICAL LABORATORY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-26",
        "last_updated": "2015-03-26",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JUNGHYUN",
        "authorized_official_title_or_position": "LABORATORY TECHNICAL SUPERVISOR",
        "authorized_official_telephone_number": "301-251-1007",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MD",
            "license": "2026",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "COS00800505",
            "primary": false
        }
    ],
    "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 Mar 26, 2015; 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.