Shedrick Laboratory, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

SHEDRICK LABORATORY, LLC

Practice address

556 Cynwood Dr Ste C
Easton, MD 21601-3886

Phone

(667) 810-6112

NPI assigned

Jan 24, 2024

Last updated

Jul 18, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Beatrice ShedrickNPI 1396315628

Title

Owner

Phone

(443) 438-5612

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Beatrice Shedrick

  • Community/Behavioral Health Agency
  • Baltimore, MD
  • NPI 1396315628
  NPD Authorized official

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1609638725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 CYNWOOD DR STE C",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013886",
            "telephone_number": "667-810-6112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 CYNWOOD DR STE C",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013886",
            "telephone_number": "667-810-6112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEDRICK LABORATORY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "SHEDRICK",
        "authorized_official_first_name": "BEATRICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-438-5612",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marian H Shannahan
• Shedrick Family Wellness, Inc
• Shedrick Family Wellness, Inc (Shedrick Family Wellness, Inc Urgent Care)
• Shedrick Family Wellness, Inc
• Shedrick Laboratory
• Ashley Sheehan, CRNP
• Ginger Marie Shimek, LMSW
• Derrick Wade Shindler, M.D.
• Shore Community Services, Inc.
• Shore Health System Inc (Diagnostic and Imaging Center)

• Clinical Medical Laboratory in Easton, MD
• Providers in Easton, MD by specialty
• Clinical Medical Laboratory in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.