Provider Demographics
NPI:1164428355
Name:CYTOMEDIX, INC.
Entity Type:Organization
Organization Name:CYTOMEDIX, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT CONTROLLER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARILYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:MATHEWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-499-2683
Mailing Address - Street 1:416 HUNGERFORD DR
Mailing Address - Street 2:STE 330
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-5112
Mailing Address - Country:US
Mailing Address - Phone:240-499-2680
Mailing Address - Fax:240-499-2690
Practice Address - Street 1:416 HUNGERFORD DR
Practice Address - Street 2:STE 330
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-5112
Practice Address - Country:US
Practice Address - Phone:240-499-2680
Practice Address - Fax:240-499-2690
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD01792333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy