NPI 1043558992

Personal Genome Diagnostics

Organisation Clinical Medical Laboratory Baltimore, MD

Practice location

Address: 3600 Boston St STE 10, Baltimore, MD 21224-5729
Phone: (855) 743-9669
Fax: (443) 602-8833
Mailing address: PO Box 2240, Burlington, NC 27216-2240

Authorised official

Name: Kimberly T Williams
Title: Vice President
Phone: (336) 436-5402

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence 21D2039282 (MD)

Other Clinical Medical Laboratory providers in Maryland →

Registry record

NPI: 1043558992
Entity type: Organization
NPI issued: 28 Jan 2013
Record last updated: 30 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.