Organization Active NPI

Suburban Hospital, Inc.

Doing business as Suburban Hospital Outreach Services Microbiology Laboratory

  • Clinical Medical Laboratory
  • Bethesda, MD
National Provider Identifier
1356651376
Registry record updated Oct 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
SUBURBAN HOSPITAL, INC.
Doing business as
Suburban Hospital Outreach Services Microbiology Laboratory
Practice address
6410 Rockledge Dr
Suite 150
Bethesda, MD 20817-1809
Phone
(301) 896-6002
Fax
(301) 230-1927
NPI assigned
Oct 8, 2010
Last updated
Oct 15, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
SUBURBAN HOSPITAL, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 15, 2010

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

Authorized official

Name
Mr. Brian A Gragnolati
Title
President
Phone
(301) 896-2574

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

6410 Rockledge Dr
Suite 150
Bethesda, MD 20817-1809

Mailing address

PO Box 79216
Baltimore, MD 21279-0216
Phone (301) 896-6002

Other names 1

  • Suburban Hospital Outreach Services Microbiology Laboratory Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2010237Suburban Hosp Otrch SVC/Micro Lab/JH Medicine6410 Rockledge Dr, Bethesda, MD 20817AccreditationNov 15, 2027

National Provider Directory

National Provider Directory
Tax ID family
Urgent Care Ctr Suburba4 organizations share this tax ID, including this one
Part of
Urgent Care Ctr Suburba

Other organizations with this tax ID 3

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": "1286496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287100800000",
    "number": "1356651376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 79216",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212790216",
            "telephone_number": "301-896-6002",
            "fax_number": "301-230-1927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 ROCKLEDGE DR",
            "address_2": "SUITE 150",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171809",
            "telephone_number": "301-896-6002",
            "fax_number": "301-230-1927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN HOSPITAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUBURBAN HOSPITAL, INC.",
        "enumeration_date": "2010-10-08",
        "last_updated": "2010-10-15",
        "status": "A",
        "authorized_official_last_name": "GRAGNOLATI",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-896-2574",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suburban Hospital Outreach Services Microbiology Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.