American Diagnostics Services LLC

Organization Active NPI Physiological Laboratory · Hunt Valley, MD

NPI 1487954913 · NPPES record last updated Jun 1, 2026

Key facts

NPI
1487954913
Entity type
Organization (NPI type 2)
Primary specialty
Physiological Laboratory 293D00000X
Legal business name
AMERICAN DIAGNOSTICS SERVICES LLC
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
Organization subpart
No

Authorized official

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

Other NPIs on the same Medicare enrollment 1

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

Other NPIs with the same Medicare PAC ID 1

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

Practitioners 88

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 88

Medicare participation

Medicare fee-for-service enrollment
Enrolled (8 enrollments) in MD, MS, NY, IA, NE, OK, MN, WV

Medicare enrollment records

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

National Provider Directory

Locations

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

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

3050 Whitestone Expy
Ste 205
Flushing, NY 11354
Phone (718) 886-1285

555 5th Ave
Ste B
Huntington, WV 25701
Phone (304) 522-3635

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Yes

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

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

Other names

  • TridentCare Doing business as

Other providers in Hunt Valley, MD

All providers in Hunt Valley, MD · Physiological Laboratory in Maryland

Sources for this page

Verify at the official NPI Registry.