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Contact Information

AMERICAN DIAGNOSTICS SERVICES LLC
2505 LORD BALTIMORE DRIVE
SUITE E
WINDSOR MILL, MD21244-2639
 Phone: 410-295-3565
 Fax: 443-842-7264
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physiological Laboratory, (Independent Physiological Lab)

293D00000X 47 Independent Diagnostic Testing Facility (IDTF)
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for AMERICAN DIAGNOSTICS SERVICES LLC

NPI Number 1639140387
LBN Legal business name AMERICAN DIAGNOSTICS SERVICES LLC
Authorized official BRIAN CUOMO - (AUTHORIZED OFFICIAL/CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 01/31/2006
Last updated 03/11/2026 - About 3 months ago
Identifiers
AL Medicaid 119726
DE Medicaid 250540997
IA Medicaid 1487954913
IN Medicaid 200980860A
KS Medicaid 200726830A
KY Medicaid 7100156790
MD Medicaid 417010500
MI Medicaid 1639140387
MN Medicaid 1487954913
MO Medicaid 1639140387
NE Medicaid 10026119900
NH Medicaid 3081146
NJ Medicaid 7660804
NY Medicaid 03340952
OH Medicaid 2839585
OK Medicaid 200409010A
PA Medicaid 0015026330013
PA Medicaid 1639140387
SC Medicaid SL0101
TN Medicaid 1523253
VA Medicaid 1639140387
WV Medicaid 3910006905
NJ Other 499596 AETNA
NJ Other 91000047800 AMERICHOICE
NJ Other 118225200 DEPT. OF LABOR
NJ Other 1035442 HORIZON MERCEY
PA Other 2563931 AETNA
PA Other 0389137000 AMERIHEALTH
PA Other 10661 ELDERHEALTH
PA Other 19531 HEALTH/SENIOR PARTNERS
PA Other 0389137000 IBC
PA Other 038913700 KEYSTONE
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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