Active NPI
Haystack Oncology Inc
- Clinical Medical Laboratory
- Baltimore, MD
National Provider Identifier
1396627618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- HAYSTACK ONCOLOGY INC
- Practice address
- 101 W Dickman St Ste 120
Baltimore, MD 21230-5006 - Phone
- (410) 297-1000
- NPI assigned
- Jul 25, 2025
- Organization subpart
- Yes
- Parent organization
- QUEST DIAGNOSTICS INCORPORATED
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leah D Timmerman
- Title
- Sr. Vice President
- Phone
- (973) 520-2700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
101 W Dickman St Ste 120
Baltimore, MD 21230-5006
Mailing address
14275 Midway Rd Ste 400
Addison, TX 75001-3661
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 |
|---|---|---|---|
| 21D2278691 | Haystack Oncology, Inc | Compliance | Jul 10, 2028 |
National Provider Directory
National Provider Directory- Part of
- Questdiagnost Ic Inc
Locations
101 W Dickman St
Ste 120
Baltimore, MD 21230
Phone (410) 297-1000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753401600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753401600000",
"number": "1396627618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14275 MIDWAY RD STE 400",
"city": "ADDISON",
"state": "TX",
"postal_code": "750013661",
"fax_number": "610-271-4245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 W DICKMAN ST STE 120",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212305006",
"telephone_number": "410-297-1000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAYSTACK ONCOLOGY INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "QUEST DIAGNOSTICS INCORPORATED",
"enumeration_date": "2025-07-25",
"last_updated": "2025-07-25",
"certification_date": "2025-07-25",
"status": "A",
"authorized_official_last_name": "TIMMERMAN",
"authorized_official_first_name": "LEAH",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "SR. VICE PRESIDENT",
"authorized_official_telephone_number": "973-520-2700"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Jul 25, 2025; 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.