Provider Demographics
NPI:1629843875
Name:SCYLEX INC
Entity Type:Organization
Organization Name:SCYLEX INC
Other - Org Name:SCYLEXLAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FOUNDER AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:SACHIN
Authorized Official - Middle Name:
Authorized Official - Last Name:KOUL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-823-2782
Mailing Address - Street 1:6996 COLUMBIA GATEWAY DR STE 175
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21046-3303
Mailing Address - Country:US
Mailing Address - Phone:240-223-4521
Mailing Address - Fax:
Practice Address - Street 1:6996 COLUMBIA GATEWAY DR STE 175
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-3303
Practice Address - Country:US
Practice Address - Phone:240-223-4521
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-17
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207SG0203XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Molecular GeneticsGroup - Single Specialty