NPIMap

Organization Active NPI

Metropolitan Cardiovascular Diagnostics Inc

  • Clinical Medical Laboratory
  • Glenn Dale, MD
National Provider Identifier
1033350236
Registry record updated Mar 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
00025532 Issued in MD
Legal business name
METROPOLITAN CARDIOVASCULAR DIAGNOSTICS INC
Practice address
5813 Marietta Station Dr
Glenn Dale, MD 20769-9178
Phone
(301) 442-7718
Fax
(301) 464-3588
NPI assigned
Mar 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2009

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

Authorized official

Name
Mr. Adrian Theodore Williams Sr., RCS
Title
Ceo
Phone
(301) 442-7718

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 00025532 MD Primary

Addresses

Primary practice location

5813 Marietta Station Dr
Glenn Dale, MD 20769-9178

Mailing address

5813 Marietta Station Dr
Glenn Dale, MD 20769-9178
Phone (301) 442-7718

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237334400000",
    "number": "1033350236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5813 MARIETTA STATION DR",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699178",
            "telephone_number": "301-442-7718",
            "fax_number": "301-464-3588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5813 MARIETTA STATION DR",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699178",
            "telephone_number": "301-442-7718",
            "fax_number": "301-464-3588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN CARDIOVASCULAR DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-18",
        "last_updated": "2009-03-18",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_middle_name": "THEODORE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-442-7718",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "RCS"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MD",
            "license": "00025532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenn Dale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.