Provider Demographics
NPI:1023273455
Name:AGENDIA BV
Entity type:Organization
Organization Name:AGENDIA BV
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:GUIDO
Authorized Official - Middle Name:
Authorized Official - Last Name:BRINK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:3120-462-1523
Mailing Address - Street 1:KUISLAAN 406
Mailing Address - Street 2:
Mailing Address - City:AMSTERDAM
Mailing Address - State:AMSTERDAM
Mailing Address - Zip Code:1098SM
Mailing Address - Country:NL
Mailing Address - Phone:3120-462-1523
Mailing Address - Fax:
Practice Address - Street 1:KUISLAAN 406
Practice Address - Street 2:
Practice Address - City:AMSTERDAM
Practice Address - State:AMSTERDAM
Practice Address - Zip Code:1098SM
Practice Address - Country:NL
Practice Address - Phone:3120-462-1523
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AGENDIA INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-07-24
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory