=====================================================
General NPI Number Information
=====================================================
NPI Number | 1174245302
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CAPSULOMICS, INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/14/2022
-----------------------------------------------------
Last Update Date | 08/18/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1450 S ROLLING RD STE 3.013
-----------------------------------------------------
City | BALTIMORE
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21227-3863
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 877-844-4487
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1450 S ROLLING RD STE 3.013
-----------------------------------------------------
City | HALETHORPE
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21227-3863
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 877-844-4487
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | MR. DANIEL GREGORY LUNZ
-----------------------------------------------------
Credential | MBA, MS.
-----------------------------------------------------
Telephone | 877-844-4487
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 291U00000X
-----------------------------------------------------
Taxonomy Name | Clinical Medical Laboratory
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------