St. Agnes Lab Services

LBN: St. Agnes Healthcare, Inc.
St. Agnes Lab Services is an health care organization with primary practice located at 900 Caton Ave , Baltimore MD 21229-5201. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. St. Agnes Healthcare, Inc. can be contacted via phone (667) 234-3060, or through Vander Kolk, Keith via phone (667) 234-2101.

Contact Information

Primary practice address
900 Caton Ave Baltimore MD 21229-5201
Phone: (667) 234-3060
Fax: (667) 234-3572
Website:
Map and Directions
Authorized official contact:
Name: Vander Kolk, Keith
Phone: (667) 234-2101

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X

Profile Details

NPI number 1164462925
LBN Legal business name St. Agnes Healthcare, Inc.
DBA Doing business as St. Agnes Lab Services
Authorized official Vander Kolk, Keith
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 8th, 2006
Last updated Feb 25th, 2016 - about 9 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 1164462925 NPPES
Maryland MEDICAID 109948500

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