Chester River Health Lab - Centreville

LBN: Chester River Health Lab - Centreville
Chester River Health Lab - Centreville is an health care organization with primary practice located at 100 Brown St , Chestertown MD 21620-1435. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Chester River Health Lab - Centreville can be contacted via phone (410) 778-3300, or through Forrester, Cardella Trythall via phone (410) 810-5192.

Contact Information

Primary practice address
100 Brown St Chestertown MD 21620-1435
Phone: (410) 778-3300
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Forrester, Cardella Trythall CPAM, CHAM
Phone: (410) 810-5192

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X 21D022037 Maryland

Profile Details

NPI number 1154628188
LBN Legal business name Chester River Health Lab - Centreville
DBA Doing business as
Authorized official Forrester, Cardella Trythall CPAM, CHAM
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 28th, 2011
Last updated Feb 28th, 2011 - about 13 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 1154628188 NPPES
Maryland MEDICAID 000265800

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