Active NPI
Suburban Hospital, Inc.
Doing business as Suburban Hospital Outreach Services Microbiology Laboratory
- Clinical Medical Laboratory
- Bethesda, MD
National Provider Identifier
1356651376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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, 2010
- Organization subpart
- Yes
- Parent organization
- SUBURBAN HOSPITAL, INC.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2010237 | Suburban Hosp Otrch SVC/Micro Lab/JH Medicine | Accreditation | Nov 15, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Urgent Care Ctr Suburba
- 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.
-
- General Acute Care Hospital
- Bethesda, MD
- NPI 1184824815
-
- Clinical Social Worker
- Rockville, MD
- NPI 1407260763
-
- Clinical Medical Laboratory
- Bethesda, MD
- NPI 1740507409
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
- Suburban Hospital, Inc (Community Home Care Management)
- Suburban Hospital, Inc
- Suburban Hospital, Inc
- Suburban Hospital, Inc.
- Suburban Hospital, Inc. (Suburban Hospital Radiation Oncology Infusion Center)
- Suburban Hospital, Inc. (Suburban Hospital Radiation Oncology Infusion Center)
- Suburban Hospital, Inc. (Community Home Care Management)
- Suburban Outpatient Surgery Center, LLC
- Suburban Physician Assistant Associates, LLC.
- Suburban Specialty Care Physicians, PC
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.