Provider Demographics
NPI:1558778035
Name:SEEGENE MEDICAL FOUNDATION
Entity Type:Organization
Organization Name:SEEGENE MEDICAL FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEAD DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KAPNO
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:8222-244-6500
Mailing Address - Street 1:2-3 YONGDAP DONG
Mailing Address - Street 2:SUNDGONG GU
Mailing Address - City:SEOUL
Mailing Address - State:SEOUL
Mailing Address - Zip Code:133847
Mailing Address - Country:KR
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2-3 YONGDAP DONG
Practice Address - Street 2:SUNDGONG GU
Practice Address - City:SEOUL
Practice Address - State:SEOUL
Practice Address - Zip Code:133847
Practice Address - Country:KR
Practice Address - Phone:8222-244-6500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-17
Last Update Date:2014-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory