Provider Demographics
NPI:1396464616
Name:KONE MOLECULAR LABS LLC
Entity type:Organization
Organization Name:KONE MOLECULAR LABS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR / SCIENTIST
Authorized Official - Prefix:MISS
Authorized Official - First Name:MAIKAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-981-8777
Mailing Address - Street 1:11350 RANDOM HILLS RD STE 800
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-6044
Mailing Address - Country:US
Mailing Address - Phone:888-981-8777
Mailing Address - Fax:
Practice Address - Street 1:11350 RANDOM HILLS RD STE 800
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-6044
Practice Address - Country:US
Practice Address - Phone:888-981-8777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-22
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory