Provider Demographics
NPI:1255860680
Name:APERIOMICS, INC.
Entity Type:Organization
Organization Name:APERIOMICS, INC.
Other - Org Name:APERIOMICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:R
Authorized Official - Last Name:ICENHOUR
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:703-229-0406
Mailing Address - Street 1:45925 HORSESHOE DR STE 170
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20166-6609
Mailing Address - Country:US
Mailing Address - Phone:703-229-0406
Mailing Address - Fax:
Practice Address - Street 1:45925 HORSESHOE DR STE 170
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20166-6609
Practice Address - Country:US
Practice Address - Phone:703-229-0406
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-08
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory