Active NPI
American Diagnostics Services LLC
Doing business as TridentCare
- Physiological Laboratory
- Hunt Valley, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00972855 | Other | NE | RR MEDICARE |
| 2400109010A | Medicaid | OK | |
| 3106321 | Medicaid | MS | |
| P01101464 | Other | MS | RR MEDICARE |
| 1487954913 | Medicaid | IA | |
| P01101462 | Other | OK | RR MEDICARE |
| 03340952 | Medicaid | NY | |
| 3910006905 | Medicaid | WV | |
| P01101442 | Other | IA | RR MEDICARE |
| 1487954913 | Medicaid | MN | |
| P01101435 | Other | MN | RR MEDICARE |
| 10026119900 | Medicaid | NE | |
| P01107140 | Other | NY | RR MEDICARE |
Other names 1
- TridentCare
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, MS, NY, IA, NE, OK, MN, WV
Enrollment records 8
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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).
-
dba TridentCare
- Physiological Laboratory
- Windsor Mill, MD
- NPI 1639140387
1355241274
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba TridentCare
- Physiological Laboratory
- Windsor Mill, MD
- NPI 1639140387
O20090123000093
National Provider Directory
National Provider DirectoryLocations
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.
-
- Cardiovascular Disease Physician
- Phoenix, MD
- NPI 1215915012
-
- Cardiovascular Disease Physician
- Reisterstown, MD
- NPI 1447211586
-
- Diagnostic Radiology Physician
- Tacoma, WA
- NPI 1447691266
-
- Diagnostic Ultrasound Physician
- Seattle, WA
- NPI 1639108046
-
- Diagnostic Radiology Physician
- Eden Prairie, MN
- NPI 1962512145
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1841226388
-
- Diagnostic Radiology Physician
- Mooresville, NC
- NPI 1558352948
-
- Diagnostic Radiology Physician
- Joint Base Lewis McChord, WA
- NPI 1497092159
-
- Diagnostic Radiology Physician
- Bristol, PA
- NPI 1386649267
-
- Diagnostic Radiology Physician
- Spicewood, TX
- NPI 1952363913
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.