MICHAEL J. TUCKER, PHD
NPI 1487776274
Clinical Medical Laboratory in Rockville, MD

Active since April 04, 2007CLIA 21D0969879 · Accreditation
9600 BLACKWELL RD STE 500, ROCKVILLE, MD 20850(301) 340-1188(301) 340-1612 Get Directions Write a Review

NPPES record last updated: March 30, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael J. Tucker, Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL J. TUCKER, PHD (NPI 1487776274) is a healthcare organization registered as a clinical medical laboratory in Rockville, Maryland and active in the NPI registry since April 2007. The organization holds an CLIA Accreditation certificate valid through December 12, 2026 and lists Shelly Shapiro, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1487776274
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameSHADY GROVE ANDROLOGY CENTER LLC
Location Address9600 BLACKWELL RD STE 500Rockville, MD 20850-3783
Mailing Address9600 Blackwell Rd Ste 500Rockville, MD 20850-3783 · (301) 340-1188 · Fax (301) 340-1612
Fax(301) 340-1612
Organization SubpartYesParent: Shady Grove Fertility Rsc
Authorized OfficialShelly ShapiroChief Financial Officer · (301) 545-1407
Enumeration DateApril 4, 2007
Last NPPES UpdateMarch 30, 2018
NPI 1487776274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
License Licensed in MO · 7629
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
9600 BLACKWELL RD STE 500, Rockville, MD 20850

Other Names 1

Other NameMichael J. Tucker, Phd

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 21D0969879

Shady Grove Andrology Center LLC · Rockville, MD
Active · expires Dec 12, 2026
CLIA Number21D0969879
Laboratory TypeIndependent
Certificate Effective DateDecember 13, 2024
Certificate Expiration DateDecember 12, 2026
Laboratory DirectorJason Gabriel Bromer
Laboratory Phone(301) 340-1188
Laboratory LocationShady Grove Andrology Center LLC9601 Blackwell Rd Ste 400, Rockville, MD 20850
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shady Grove Andrology Center LLC's NPI number?

The NPI number for Shady Grove Andrology Center LLC is 1487776274. It was assigned to this organization in the NPPES registry on April 4, 2007. The provider is also known as Michael J. Tucker, Phd.

Where is Shady Grove Andrology Center LLC located?

Shady Grove Andrology Center LLC is located at 9600 Blackwell Rd Ste 500, Rockville, MD 20850. The listed phone number is (301) 340-1188.

What is Shady Grove Andrology Center LLC's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Shady Grove Andrology Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 21D0969879) is associated with this NPI, valid through December 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Shady Grove Andrology Center LLC was last updated on March 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.