NPIMap

Organization Active NPI

Recovery for Life

  • Clinical Medical Laboratory
  • Baltimore, MD
National Provider Identifier
1083153076
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
160233 Issued in MD
Legal business name
RECOVERY FOR LIFE
Practice address
3719 E Baltimore St
Baltimore, MD 21224-1509
Phone
(410) 276-2212
NPI assigned
Feb 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

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

Authorized official

Name
Louis Spath
Title
Owner
Phone
(410) 276-2212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 160233 MD Primary

Addresses

Primary practice location

3719 E Baltimore St
Baltimore, MD 21224-1509

Mailing address

3719 E Baltimore St
Baltimore, MD 21224-1509
Phone (410) 276-2212

Other identifiers 1

IdentifierTypeStateIssuer
422980100MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Recovery for Life2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1487808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487808000000",
    "number": "1083153076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3719 E BALTIMORE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212241509",
            "telephone_number": "410-276-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3719 E BALTIMORE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212241509",
            "telephone_number": "410-276-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY FOR LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-23",
        "last_updated": "2017-02-23",
        "status": "A",
        "authorized_official_last_name": "SPATH",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-276-2212"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MD",
            "license": "160233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "422980100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; 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.