NPIMap

Organization Active NPI

Adera Labs, LLC

  • Clinical Medical Laboratory
  • Germantown, MD
National Provider Identifier
1063823904
Registry record updated May 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ADERA LABS, LLC
Practice address
20271 Goldenrod LN
Room 2062
Germantown, MD 20876-4064
Phone
(301) 317-7160
Fax
(443) 283-4052
NPI assigned
May 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2014

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

Authorized official

Name
Mark Ricigliano
Title
Director
Phone
(301) 317-7160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

20271 Goldenrod LN
Room 2062
Germantown, MD 20876-4064

Mailing address

20271 Goldenrod LN
Room 2062
Germantown, MD 20876-4064
Phone (301) 317-7160

National Provider Directory

National Provider Directory

Locations

20271 Goldenrod Ln
Ste 2062
Germantown, MD 20876
Phone (301) 317-7160

NPI Registry JSON

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400025600000",
    "number": "1063823904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20271 GOLDENROD LN",
            "address_2": "ROOM 2062",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208764064",
            "telephone_number": "301-317-7160",
            "fax_number": "443-283-4052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20271 GOLDENROD LN",
            "address_2": "ROOM 2062",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208764064",
            "telephone_number": "301-317-7160",
            "fax_number": "443-283-4052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADERA LABS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-14",
        "last_updated": "2014-05-14",
        "status": "A",
        "authorized_official_last_name": "RICIGLIANO",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "301-317-7160"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; 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.