Panacea Pharmaceuticals, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

1352 Issued in MD

Legal business name

PANACEA PHARMACEUTICALS, INC.

Doing business as

Panacea Laboratories

Practice address

207 Perry Pkwy
Suite 2
Gaithersburg, MD 20877-2142

Phone

(240) 243-8000

Fax

(240) 465-0450

NPI assigned

Jul 22, 2008

Last updated

Jul 22, 2008By 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

Dr. Pamela Jo Harris, M.D.

Title

VP of Clinical and Medical Affairs

Phone

(240) 243-8000

Specialties & licenses 1

Addresses

Other names 1

• Panacea Laboratories Doing business as

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1841455565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 PERRY PKWY",
            "address_2": "SUITE 2",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772142",
            "telephone_number": "240-243-8000",
            "fax_number": "240-465-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 PERRY PKWY",
            "address_2": "SUITE 2",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772142",
            "telephone_number": "240-243-8000",
            "fax_number": "240-465-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANACEA PHARMACEUTICALS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-22",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "VP OF CLINICAL AND MEDICAL AFFAIRS",
        "authorized_official_telephone_number": "240-243-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MD",
            "license": "1352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Panacea Laboratories",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Gaithersburg, MD
• Providers in Gaithersburg, 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 Jul 22, 2008; 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.