Organization Active NPI

American Diagnostics Services LLC

Doing business as TridentCare

  • Physiological Laboratory
  • Hunt Valley, MD
National Provider Identifier
1487954913
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
AMERICAN DIAGNOSTICS SERVICES LLC
Doing business as
TridentCare
Practice address
215 Schilling Cir Ste 114
Hunt Valley, MD 21031-1113
Phone
(800) 786-8015
Fax
(410) 472-1754
NPI assigned
Nov 1, 2010
Last updated
Jun 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Authorized official

Name
Brian C Cuomo
Title
Authorized Official/Cfo
Phone
(800) 786-8015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

215 Schilling Cir Ste 114
Hunt Valley, MD 21031-1113

Mailing address

215 Schilling Cir Ste 114
Hunt Valley, MD 21031-1113
Phone (800) 786-8015

Other practice location 1

7010 S Yale Ave
Tulsa, OK 74136-5713
Phone (539) 867-4348

Other practice location 2

8030 Old Cedar Ave S Ste 124
Bloomington, MN 55425-1213
Phone (952) 854-5037

Other practice location 3

555 5th Ave Ste B
Huntington, WV 25701-1907
Phone (304) 522-4668

Other practice location 4

70 E Sunrise Hwy Ste 500
Valley Stream, NY 11581-1233
Phone (718) 886-1285

Other practice location 5

230 Goodman Rd E Ste 203
Southaven, MS 38671-8313
Phone (662) 536-6097

Other practice location 6

25 S 15th St Ste 2A
Council Bluffs, IA 51501-3900
Phone (712) 352-2999

Other practice location 7

13518 Discovery Dr
Omaha, NE 68137-3020
Phone (402) 896-8303

Other identifiers 13

IdentifierTypeStateIssuer
P00972855OtherNERR MEDICARE
2400109010AMedicaidOK
3106321MedicaidMS
P01101464OtherMSRR MEDICARE
1487954913MedicaidIA
P01101462OtherOKRR MEDICARE
03340952MedicaidNY
3910006905MedicaidWV
P01101442OtherIARR MEDICARE
1487954913MedicaidMN
P01101435OtherMNRR MEDICARE
10026119900MedicaidNE
P01107140OtherNYRR MEDICARE

Other names 1

  • TridentCare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, MS, NY, IA, NE, OK, MN, WV8 enrollments

Enrollment records 8

Enrollment IDStateProvider typePAC IDDetails
O20090123000093 MD Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1355241274 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Baltimore, MD
O20110225000364 MS Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1355241274 Practice locations: Southaven, MS
O20110406000043 NY Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1355241274 Practice locations: Valley Stream, NY
O20110811000105 IA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1355241274 Practice locations: Council Bluffs, IA
O20110915000019 NE Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1355241274 Practice locations: Omaha, NE
O20111121000876 OK Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1355241274 Practice locations: Tulsa, OK
O20121005000531 MN Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1355241274 Practice locations: Bloomington, MN
O20150415001628 WV Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1355241274 Receives reassigned benefits from 2 practitioners
Practice locations: Huntington, WV

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

9780 Maumelle Blvd
North Little Rock, AR 72113
Phone (501) 221-1847

230 Goodman Rd E
Ste 203
Southaven, MS 38671
Phone (662) 536-6020

6981 N Park Dr
Ste 506
Pennsauken, NJ 08109
Phone (856) 317-0506

101 Rock Rd
Horsham, PA 19044
Phone (215) 442-0660

Practitioners & affiliated clinicians

Practitioners 93

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.

View all 93

NPI Registry JSON

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780272000000",
    "number": "1487954913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 SCHILLING CIR STE 114",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210311113",
            "telephone_number": "800-786-8015",
            "fax_number": "410-472-1754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 SCHILLING CIR STE 114",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210311113",
            "telephone_number": "800-786-8015",
            "fax_number": "410-472-1754"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7010 S Yale Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741365713",
            "country_code": "US",
            "telephone_number": "539-867-4348",
            "fax_number": "443-842-7264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8030 Old Cedar Ave S Ste 124",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "MN",
            "postal_code": "554251213",
            "country_code": "US",
            "telephone_number": "952-854-5037",
            "fax_number": "443-842-7264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 5th Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257011907",
            "country_code": "US",
            "telephone_number": "304-522-4668",
            "fax_number": "443-842-7264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "70 E Sunrise Hwy Ste 500",
            "address_purpose": "LOCATION",
            "city": "Valley Stream",
            "state": "NY",
            "postal_code": "115811233",
            "country_code": "US",
            "telephone_number": "718-886-1285",
            "fax_number": "443-842-7264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "230 Goodman Rd E Ste 203",
            "address_purpose": "LOCATION",
            "city": "Southaven",
            "state": "MS",
            "postal_code": "386718313",
            "country_code": "US",
            "telephone_number": "662-536-6097",
            "fax_number": "443-842-7264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 S 15th St Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Council Bluffs",
            "state": "IA",
            "postal_code": "515013900",
            "country_code": "US",
            "telephone_number": "712-352-2999",
            "fax_number": "443-842-7264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13518 Discovery Dr",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681373020",
            "country_code": "US",
            "telephone_number": "402-896-8303",
            "fax_number": "443-842-7264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AMERICAN DIAGNOSTICS SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-01",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A",
        "authorized_official_last_name": "CUOMO",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL/CFO",
        "authorized_official_telephone_number": "800-786-8015"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00972855",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2400109010A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3106321",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01101464",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487954913",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01101462",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03340952",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3910006905",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01101442",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487954913",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01101435",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026119900",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01107140",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TridentCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hunt Valley, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.