Organization Active NPI

Regional Diagnostic Laboratories, LLC

  • Clinical Medical Laboratory
  • Elkton, MD
National Provider Identifier
1497270912
Registry record updated Aug 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
REGIONAL DIAGNOSTIC LABORATORIES, LLC
Practice address
300 E Pulaski Hwy Ste 107
Elkton, MD 21921-6737
Phone
(443) 485-7183
NPI assigned
Aug 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2017

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

Authorized official

Name
Samina Kousar
Title
Managing Member
Phone
(443) 485-7183

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

300 E Pulaski Hwy Ste 107
Elkton, MD 21921-6737

Mailing address

16 Henry Way
Elkton, MD 21921-5173

National Provider Directory

National Provider Directory

Locations

300 E Pulaski Hwy
Ste 107
Elkton, MD 21921
Phone (443) 485-7183

NPI Registry JSON

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

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501804800000",
    "number": "1497270912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 HENRY WAY",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E PULASKI HWY STE 107",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216737",
            "telephone_number": "443-485-7183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL DIAGNOSTIC LABORATORIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-04",
        "last_updated": "2017-08-04",
        "status": "A",
        "authorized_official_last_name": "KOUSAR",
        "authorized_official_first_name": "SAMINA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "443-485-7183"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2017; 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.