NPIMap

Organization Active NPI

Diagnosti Pathology Services, Inc

  • Clinical Medical Laboratory
  • Clarksburg, MD
National Provider Identifier
1609821248
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
DIAGNOSTI PATHOLOGY SERVICES, INC
Practice address
22610 Gateway Center Dr
Suite 100
Clarksburg, MD 20871-2006
Phone
(301) 230-7575
Fax
(240) 686-1515
NPI assigned
May 23, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. James T Sundeen, MDNPI 1316978950
Title
President
Phone
(301) 230-7575

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X MD Primary

Addresses

Primary practice location

22610 Gateway Center Dr
Suite 100
Clarksburg, MD 20871-2006

Mailing address

22610 Gateway Center Dr
Suite 100
Clarksburg, MD 20871-2006
Phone (301) 230-7575

National Provider Directory

National Provider Directory

Locations

22610 Gateway Center Dr
Ste 100
Clarksburg, MD 20871
Phone (240) 686-1501

11420 Rockville Pike
Rockville, MD 20852
Phone (240) 686-1501

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609821248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22610 GATEWAY CENTER DR",
            "address_2": "SUITE 100",
            "city": "CLARKSBURG",
            "state": "MD",
            "postal_code": "208712006",
            "telephone_number": "301-230-7575",
            "fax_number": "240-686-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22610 GATEWAY CENTER DR",
            "address_2": "SUITE 100",
            "city": "CLARKSBURG",
            "state": "MD",
            "postal_code": "208712006",
            "telephone_number": "301-230-7575",
            "fax_number": "240-686-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTI PATHOLOGY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUNDEEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-230-7575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.