Neodiagnostix, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

NEODIAGNOSTIX, INC.

Practice address

910 Clopper Rd
Suite 240S
Gaithersburg, MD 20878-1361

Phone

(240) 821-6000

Fax

(240) 235-4433

NPI assigned

May 22, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Richard Pinnola

Title

President & Ceo

Phone

(240) 821-6000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1487609350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 CLOPPER RD",
            "address_2": "SUITE 240S",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208781361",
            "telephone_number": "240-821-6001",
            "fax_number": "240-235-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 CLOPPER RD",
            "address_2": "SUITE 240S",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208781361",
            "telephone_number": "240-821-6000",
            "fax_number": "240-235-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEODIAGNOSTIX, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2016-09-07",
        "status": "A",
        "authorized_official_last_name": "PINNOLA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "240-821-6000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4186826-00",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Clinical Medical Laboratory in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.