Active NPI
Chesapeake Mobile Lab
- Clinical Medical Laboratory
- Baltimore, MD
National Provider Identifier
1538078605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- CHESAPEAKE MOBILE LAB
- Practice address
- 1105 N Point Blvd Ste 331
Baltimore, MD 21224-3472 - Phone
- (410) 517-7060
- Fax
- (443) 407-2942
- NPI assigned
- Sep 3, 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
- Michelle Blackston, CRNP
- Title
- Director
- Phone
- (410) 517-7060
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
1105 N Point Blvd Ste 331
Baltimore, MD 21224-3472
Mailing address
1105 N Point Blvd Ste 331
Baltimore, MD 21224-3472
Phone (410) 517-7060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788393600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788393600000",
"number": "1538078605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1105 N POINT BLVD STE 331",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212243472",
"telephone_number": "410-517-7060",
"fax_number": "443-407-2942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 N POINT BLVD STE 331",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212243472",
"telephone_number": "410-517-7060",
"fax_number": "443-407-2942"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHESAPEAKE MOBILE LAB",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-03",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A",
"authorized_official_last_name": "BLACKSTON",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "410-517-7060",
"authorized_official_credential": "CRNP"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
- Chesapeake Lithotripsy Associates, L.P.
- Chesapeake Lithotripsy Enterprises, L.P.
- Chesapeake Lithotripsy Partners, L.P.
- Chesapeake Lithotripsy Ventures, L.P.
- Chesapeake Lithotripsy West, L.P.
- Chesapeake Neurosurgery, LLC
- Chesapeake Open MRI L L C (Chesapeake Medical Imaging)
- Chesapeake Open MRI LLC (Chesapeake Medical Imaging)
- Chesapeake Pain Management, LLC
- Chesapeake Recovery and Wellness Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.