NPIMap

Organization Active NPI

CCC Diagnostics, LLC

  • Clinical Medical Laboratory
  • Baltimore, MD
National Provider Identifier
1265685440
Registry record updated Oct 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
1274 Issued in MD
Legal business name
CCC DIAGNOSTICS, LLC
Practice address
3918 Vero Road
Suite B
Baltimore, MD 21227-1522
Phone
(410) 633-3570
NPI assigned
Oct 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2008

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

Authorized official

Name
Dr. Paul O.P. TS'O, PH.D.
Title
Founder and Managing Director
Phone
(410) 633-3570

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 1274 MD Primary

Addresses

Primary practice location

3918 Vero Road
Suite B
Baltimore, MD 21227-1522

Mailing address

P.O. Box 7467
Baltimore, MD 21227-7467
Phone (410) 633-3570

National Provider Directory

National Provider Directory

Locations

3918 Vero Rd
Ste B
Baltimore, MD 21227
Phone (410) 633-3570

NPI Registry JSON

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225411200000",
    "number": "1265685440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 7467",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212277467",
            "telephone_number": "410-633-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3918 VERO ROAD",
            "address_2": "SUITE B",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212271522",
            "telephone_number": "410-633-3570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCC DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-31",
        "last_updated": "2008-10-31",
        "status": "A",
        "authorized_official_last_name": "TS'O",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "O.P.",
        "authorized_official_title_or_position": "FOUNDER AND MANAGING DIRECTOR",
        "authorized_official_telephone_number": "410-633-3570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MD",
            "license": "1274",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 31, 2008; 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.