Organization Active NPI

Trillium Health LLC

  • Clinical Medical Laboratory
  • Rockville, MD
National Provider Identifier
1629950829
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
TRILLIUM HEALTH LLC
Practice address
9808 Medical Center Dr Unit 330
Rockville, MD 20850-4898
Phone
(888) 261-2812
Fax
(240) 880-1940
NPI assigned
Jul 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Authorized official

Name
Lane Edwards
Title
Chief of Staff
Phone
(888) 261-2812

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

9808 Medical Center Dr Unit 330
Rockville, MD 20850-4898

Mailing address

9808 Medical Center Dr Unit 330
Rockville, MD 20850-4898
Phone (888) 261-2812

Other names 1

  • TrilliumBio Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251007000333 DC Part B Supplier - Independent Clinical Laboratory 4688171846 Practice locations: Rockville, MD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2277056Trilliumbio9808 Medical Center Dr Suite 330, Rockville, MD 20850AccreditationJun 4, 2028

National Provider Directory

National Provider Directory

Locations

9808 Medical Center Dr
Unit 330
Rockville, MD 20850
Phone 8882612812 ext. 12812

NPI Registry JSON

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

{
    "created_epoch": "1753056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753228800000",
    "number": "1629950829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9808 MEDICAL CENTER DR UNIT 330",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208504898",
            "telephone_number": "888-261-2812",
            "fax_number": "240-880-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9808 MEDICAL CENTER DR UNIT 330",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208504898",
            "telephone_number": "888-261-2812",
            "fax_number": "240-880-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRILLIUM HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-21",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "LANE",
        "authorized_official_title_or_position": "CHIEF OF STAFF",
        "authorized_official_telephone_number": "888-261-2812"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TrilliumBio",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TrilliumBio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.