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Contact Information

AMERICAN DIAGNOSTICS SERVICES LLC
930 RIDGEBROOK RD FL 3
SPARKS GLENCOE, MD21152-9481
 Phone: 800-786-8015
 Fax: 410-472-1754
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physiological Laboratory, (Independent Physiological Lab)

293D00000X 47 Independent Diagnostic Testing Facility (IDTF)
Indicates primary specialty

NPI Profile & details for AMERICAN DIAGNOSTICS SERVICES LLC

NPI # 1487954913
LBN Legal business name AMERICAN DIAGNOSTICS SERVICES LLC
Authorized official BRIAN CUOMO - (AUTHORIZED OFFICIAL/CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 11/01/2010
Last updated 03/11/2026 - About 3 months ago
Identifiers
IA Medicaid 1487954913
MN Medicaid 1487954913
MS Medicaid 3106321
NE Medicaid 10026119900
NY Medicaid 03340952
OK Medicaid 2400109010A
WV Medicaid 3910006905
IA Other P01101442 RR MEDICARE
MN Other P01101435 RR MEDICARE
MS Other P01101464 RR MEDICARE
NE Other P00972855 RR MEDICARE
NY Other P01107140 RR MEDICARE
OK Other P01101462 RR MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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