Healthcare Provider Details

I. General information

NPI: 1245000769
Provider Name (Legal Business Name): OXFORD BIODYNAMICS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2024
Last Update Date: 03/14/2025
Certification Date: 03/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7495 NEW HORIZON WAY STE 110
FREDERICK MD
21703-8388
US

IV. Provider business mailing address

7495 NEW HORIZON WAY STE 110
FREDERICK MD
21703-8388
US

V. Phone/Fax

Practice location:
  • Phone: 888-236-8896
  • Fax: 240-913-5681
Mailing address:
  • Phone: 888-200-3361
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: THOMAS G. GUIEL
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 888-200-3361