Provider Demographics
NPI:1891928289
Name:APPLIED GENOMICS, INC.
Entity Type:Organization
Organization Name:APPLIED GENOMICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP, BUSINESS DEVELOPMENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:G
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:949-388-6352
Mailing Address - Street 1:601 GENOME WAY STE 2200
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35806-2911
Mailing Address - Country:US
Mailing Address - Phone:256-533-2949
Mailing Address - Fax:256-533-1474
Practice Address - Street 1:601 GENOME WAY STE 2200
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35806-2911
Practice Address - Country:US
Practice Address - Phone:256-533-2949
Practice Address - Fax:256-533-1474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-01
Last Update Date:2009-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory