Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shady Grove Andrology Center LLC

Organization Clinical Medical Laboratory · NPI 1487776274

Shady Grove Andrology Center LLC is a Clinical Medical Laboratory in Rockville, Maryland. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9600 Blackwell Rd Ste 500
Rockville, MD 20850-3783
Phone: (301) 340-1188
Fax: (301) 340-1612
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X
Clinical Medical Laboratory Taxonomy 291U00000X · Licence 7629 (MO)

Record details

NPI number1487776274
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationShady Grove Fertility Rsc
Authorized official Shelly Shapiro — Chief Financial Officer · (301) 545-1407
Other names Michael J. Tucker, Phd
NPI enumeratedApril 4, 2007
Last updated in NPPESMarch 30, 2018
Mailing address9600 Blackwell Rd Ste 500, Rockville, MD 20850-3783

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