Active NPI
Clinical Diagnostics Inc
- Clinical Medical Laboratory
- Baltimore, MD
National Provider Identifier
1336229582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- D35410
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 713400200 | Medicaid | MD |
National Provider Directory
National Provider DirectoryNPI 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.