NPIMap

Organization Active NPI

Chester River Health Lab

  • Clinical Medical Laboratory
  • Chestertown, MD
National Provider Identifier
1346475167
Registry record updated Nov 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
21D0220377 Issued in MD
Legal business name
CHESTER RIVER HEALTH LAB
Practice address
6602 Church Hill Rd
Suite 450
Chestertown, MD 21620-2310
Phone
(410) 778-3300
Fax
(410) 778-7650
NPI assigned
May 22, 2009
Last updated
Nov 10, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
CHESTER RIVER HOSPITAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 10, 2009

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

Authorized official

Name
Mrs. Cardella T Forrester
Title
Director, Patient Finanial SVCS
Phone
(410) 810-5192

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 21D0220377 MD Primary

Addresses

Primary practice location

6602 Church Hill Rd
Suite 450
Chestertown, MD 21620-2310

Mailing address

100 Brown St
Chestertown, MD 21620-1435
Phone (410) 778-3300

National Provider Directory

National Provider Directory
Tax ID family
Kent Queen Annes Emrg7 organizations share this tax ID, including this one
Part of
Kent Queen Annes Emrg

Other organizations with this tax ID 6

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": "1242950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257811200000",
    "number": "1346475167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BROWN ST",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216201435",
            "telephone_number": "410-778-3300",
            "fax_number": "410-778-7650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6602 CHURCH HILL RD",
            "address_2": "SUITE 450",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216202310",
            "telephone_number": "410-778-3300",
            "fax_number": "410-778-7650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTER RIVER HEALTH LAB",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHESTER RIVER HOSPITAL CENTER",
        "enumeration_date": "2009-05-22",
        "last_updated": "2009-11-10",
        "status": "A",
        "authorized_official_last_name": "FORRESTER",
        "authorized_official_first_name": "CARDELLA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DIRECTOR, PATIENT FINANIAL SVCS",
        "authorized_official_telephone_number": "410-810-5192",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MD",
            "license": "21D0220377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chestertown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; 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.