Chesapeake Diagnostic Laboratory, Inc.

LBN: Chesapeake Diagnostic Laboratory, Inc.
Chesapeake Diagnostic Laboratory, Inc. is an health care organization with primary practice located at 110 Old Padonia Rd Ste 301, Cockeysville Hunt Valley MD 21030-4948. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Chesapeake Diagnostic Laboratory, Inc. can be contacted via phone (410) 560-5800, or through Moshiri, Shahla via phone (410) 560-5800.

Contact Information

Primary practice address
110 Old Padonia Rd Ste 301 Cockeysville Hunt Valley MD 21030-4948
Fax:
Website:
Authorized official contact:
Name: Moshiri, Shahla Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X 027547D Maryland

Profile Details

NPI number 1528064045
LBN Legal business name Chesapeake Diagnostic Laboratory, Inc.
DBA Doing business as
Authorized official Moshiri, Shahla Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2005
Last updated Dec 28th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528064045 NPPES
Maryland Other 21D0704925 CLIA #
Maryland MEDICAID 800160000 CLIA #

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