NPIMap

Organization Active NPI

Carla B. Macleod M.D. & Associates LLC

Doing business as CBM Pathology

  • Anatomic Pathology & Clinical Pathology Physician
  • Gaithersburg, MD
National Provider Identifier
1013176957
Registry record updated Nov 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
CARLA B. MACLEOD M.D. & ASSOCIATES LLC
Doing business as
CBM Pathology
Practice address
18207A Flower Hill Way
Gaithersburg, MD 20879-5331
Phone
(301) 926-4707
Fax
(301) 926-4708
NPI assigned
Jun 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Carla B Macleod, MDNPI 1699774497
Title
Director
Phone
(301) 926-4707

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0102X Primary
Clinical Medical Laboratory 291U00000X 21D0947364 MD

Addresses

Primary practice location

18207A Flower Hill Way
Gaithersburg, MD 20879-5331

Mailing address

PO Box 1738
Wake Forest, NC 27588-1738
Phone (301) 926-4707

Other identifiers 1

IdentifierTypeStateIssuer
335205600MedicaidMD

Other names 1

  • CBM Pathology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100722000916 DC Part B Supplier - Independent Clinical Laboratory 3375611056 Practice locations: Gaithersburg, MD
O20110223000726 DC Part B Supplier - Clinic/Group Practice 3375611056 Receives reassigned benefits from 6 practitioners
Practice locations: Gaithersburg, MD

National Provider Directory

National Provider Directory
Tax ID family
Carla B Macleod MD Associates LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

18205 Flower Hill Way
#A
Gaithersburg, MD 20879
Phone (301) 926-4707

4200B Pleasant Valley Rd
Chantilly, VA 20151
Phone (703) 404-8189

13 W Main St
Christiansbrg, VA 24073

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416268800000",
    "number": "1013176957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1738",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275881738",
            "telephone_number": "301-926-4707",
            "fax_number": "301-926-4708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18207A FLOWER HILL WAY",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208795331",
            "telephone_number": "301-926-4707",
            "fax_number": "301-926-4708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLA B. MACLEOD M.D. & ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2014-11-18",
        "status": "A",
        "authorized_official_last_name": "MACLEOD",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "301-926-4707",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MD",
            "license": "21D0947364",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "335205600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CBM Pathology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.