Organization Active NPI

Cag Group PC

  • Clinical Medical Laboratory
  • Baltimore, MD
National Provider Identifier
1447585120
Registry record updated Oct 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
21D0649684 Issued in MD
Legal business name
CAG GROUP PC
Doing business as
dermatopathology consultation services
Practice address
1319 Park Ave
Baltimore, MD 21217-4104
Phone
(443) 927-7364
Fax
(800) 419-7485
NPI assigned
Oct 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2009

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

Authorized official

Name
Maurice M Vincent, MD
Title
President
Phone
(443) 927-7364

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 21D0649684 MD Primary

Addresses

Primary practice location

1319 Park Ave
Baltimore, MD 21217-4104

Mailing address

7095 Hollywood Blvd
Suite 338
Hollywood, CA 90028-8903
Phone (443) 927-7364

Other names 1

  • dermatopathology consultation services Doing business as

National Provider Directory

National Provider Directory

Locations

7095 Hollywood Blvd
Ste 338
Hollywood, CA 90028

NPI Registry JSON

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

{
    "created_epoch": "1255392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255392000000",
    "number": "1447585120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7095 HOLLYWOOD BLVD",
            "address_2": "SUITE 338",
            "city": "HOLLYWOOD",
            "state": "CA",
            "postal_code": "900288903",
            "telephone_number": "443-927-7364",
            "fax_number": "800-419-7485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 PARK AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212174104",
            "telephone_number": "443-927-7364",
            "fax_number": "800-419-7485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAG GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-13",
        "last_updated": "2009-10-13",
        "status": "A",
        "authorized_official_last_name": "VINCENT",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-927-7364",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MD",
            "license": "21D0649684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dermatopathology consultation services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 13, 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.