Organization Active NPI

Clinical Diagnostics Inc

  • Clinical Medical Laboratory
  • Baltimore, MD
National Provider Identifier
1336229582
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
D35410 Issued in MD
Legal business name
CLINICAL DIAGNOSTICS INC
Practice address
6918 Ridge Rd
Baltimore, MD 21237-3854
Phone
(410) 687-4400
Fax
(410) 687-4495
NPI assigned
Oct 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Authorized official

Name
Dr. Liya S Pfeffer, MD
Title
Owner
Phone
(410) 687-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X D35410 MD Primary

Addresses

Primary practice location

6918 Ridge Rd
Baltimore, MD 21237-3854

Mailing address

6918 Ridge Rd
Baltimore, MD 21237-3854
Phone (410) 687-4400

Other identifiers 1

IdentifierTypeStateIssuer
713400200MedicaidMD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1336229582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6918 RIDGE RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212373854",
            "telephone_number": "410-687-4400",
            "fax_number": "410-687-4495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6918 RIDGE RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212373854",
            "telephone_number": "410-687-4400",
            "fax_number": "410-687-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "PFEFFER",
        "authorized_official_first_name": "LIYA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-687-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MD",
            "license": "D35410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "713400200",
            "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 Nov 29, 2007; 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.