St. Jude Laboratories Llc

LBN: St. Jude Laboratories Llc
St. Jude Laboratories Llc is an health care organization with primary practice located at 9017 Mendenhall Ct Ste D , Columbia MD 21045-4732. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. St. Jude Laboratories Llc can be contacted via phone (410) 862-8162, or through Kalampanayil, Bose via phone (410) 884-4120.

Contact Information

Primary practice address
9017 Mendenhall Ct Ste D Columbia MD 21045-4732
Phone: (410) 862-8162
Fax: (410) 630-7474
Website:
Map and Directions
Authorized official contact:
Name: Kalampanayil, Bose
Phone: (410) 884-4120

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X

Profile Details

NPI number 1083172043
LBN Legal business name St. Jude Laboratories Llc
DBA Doing business as
Authorized official Kalampanayil, Bose
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2019
Last updated Mar 3rd, 2021 - about 4 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 1083172043 NPPES
Maryland MEDICAID NA

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