Organization Active NPI

Bay Clinical Laboratories

  • Clinical Medical Laboratory
  • Annapolis, MD
National Provider Identifier
1376995910
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
BAY CLINICAL LABORATORIES
Practice address
185 Admiral Cochrane Dr Ste 225B
Annapolis, MD 21401-7493
Phone
(443) 440-5782
Fax
(443) 440-5782
NPI assigned
Jul 7, 2016
Last updated
May 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Authorized official

Name
Christina Peterson
Title
Billing Manager
Phone
(443) 440-5782

Specialties & licenses 1

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

Addresses

Primary practice location

185 Admiral Cochrane Dr Ste 225B
Annapolis, MD 21401-7493

Mailing address

185 Admiral Cochrane Dr Ste 120
Annapolis, MD 21401-7600
Phone (443) 440-5782

Other identifiers 1

IdentifierTypeStateIssuer
185012100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170821000115 MD Part B Supplier - Independent Clinical Laboratory 0345512745 Receives reassigned benefits from 1 practitioner
Practice locations: Annapolis, MD

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
21D2116917Bay Clinical Laboratories185 Admiral Cochrane Drive #225B, Annapolis, MD 21401AccreditationMay 30, 2027

National Provider Directory

National Provider Directory

Locations

185 Admiral Cochrane Dr
Ste 120
Annapolis, MD 21401

185 Admiral Cochrane Dr
Ste 120B
Annapolis, MD 21401

185 Admiral Cochrane Dr
Ste 225B
Annapolis, MD 21401

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746748800000",
    "number": "1376995910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 ADMIRAL COCHRANE DR STE 120",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017600",
            "telephone_number": "443-440-5782",
            "fax_number": "443-440-5782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 ADMIRAL COCHRANE DR STE 225B",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017493",
            "telephone_number": "443-440-5782",
            "fax_number": "443-440-5782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY CLINICAL LABORATORIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-07",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "443-440-5782"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185012100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.