Organization Active NPI

American Diagnostics Services LLC

Doing business as TridentCare

  • Physiological Laboratory
  • Windsor Mill, MD
National Provider Identifier
1639140387
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
AMERICAN DIAGNOSTICS SERVICES LLC
Doing business as
TridentCare
Practice address
2505 Lord Baltimore Drive
Suite E
Windsor Mill, MD 21244-2639
Phone
(410) 295-3565
Fax
(443) 842-7264
NPI assigned
Jan 31, 2006
Last updated
Mar 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Authorized official

Name
Brian C Cuomo
Title
Authorized Official/Cfo
Phone
(800) 786-8015

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU
Physiological Laboratory 293D00000X NU Primary

Addresses

Primary practice location

2505 Lord Baltimore Drive
Suite E
Windsor Mill, MD 21244-2639

Mailing address

215 Schilling Cir Ste 114
Hunt Valley, MD 21031-1113
Phone (800) 786-8015

Other practice location 1

4400 140th Ave N Ste 200-230
Clearwater, FL 33762-3832
Phone (800) 786-8015

Other practice location 2

2550 Corporate Exchange Dr Ste 15
Columbus, OH 43231-1660
Phone (614) 431-5455

Other practice location 3

1206 Hartford Ave Ste F
Johnston, RI 02919-7131
Phone (401) 831-8343

Other practice location 4

3801 Computer Dr Ste 103A
Raleigh, NC 27609-6506
Phone (800) 786-8015

Other practice location 5

836 Candia Rd
Manchester, NH 03109-5203
Phone (207) 773-4199

Other practice location 6

7010 S Yale Ave Ste 106
Tulsa, OK 74136-5702
Phone (539) 867-4348

Other practice location 7

115 Gibraltar Rd
Horsham, PA 19044-2303
Phone (215) 957-1280

Other practice location 8

7355 Prairie Falcon Rd
Las Vegas, NV 89128-0801
Phone (800) 786-8015

Other practice location 9

5766 Carmichael Pkwy
Montgomery, AL 36117-2351
Phone (443) 662-4101

Other practice location 10

965 E Yosemite Ave Ste 24
Manteca, CA 95336-5944
Phone (800) 786-8015

Other practice location 11

2141 S El Camino Real Ste A&b
Oceanside, CA 92054-9003
Phone (800) 786-8015

Other practice location 12

3223 Sunset Blvd Ste 100
West Columbia, SC 29169-3200
Phone (803) 772-2411

Other practice location 13

2116 Dabney Rd Ste A1
Richmond, VA 23230-3341
Phone (804) 213-9712

Other practice location 14

20 Technology Dr Ste M2
Brattleboro, VT 05301-9181
Phone (802) 257-9960

Other practice location 15

2502 E University Dr Ste 290
Phoenix, AZ 85034-6932
Phone (800) 786-8015

Other practice location 16

11012 Lin Valle Dr Ste G
Saint Louis, MO 63123-7217
Phone (314) 487-2364

Other practice location 17

10580 Barkley St Ste 415
Overland Park, KS 66212-1850
Phone (913) 901-0140

Other practice location 18

1109 Middleford Rd Ste A
Seaford, DE 19973-3607
Phone (302) 628-4209

Other practice location 19

9110 Leesgate Rd Ste 6
Louisville, KY 40222-5053
Phone (502) 749-1723

Other practice location 20

1001 Virginia Ave Ste 302
Hapeville, GA 30354-1367
Phone (404) 763-7999

Other practice location 21

891 Brighton Ave Ste 32nd
Portland, ME 04102-1056
Phone (207) 253-2446

Other practice location 22

21900 Melrose Ave Ste 1
Southfield, MI 48075-7967
Phone (248) 948-7939

Other practice location 23

7776 S Pointe Pkwy W Ste 150A
Phoenix, AZ 85044-5427
Phone (800) 786-8015

Other practice location 24

133 Fleming St
Piscataway, NJ 08854-3350
Phone (732) 752-9408

Other practice location 25

1134 Industry Dr
Tukwila, WA 98188-4803
Phone (800) 786-8015

Other practice location 26

301 S Perimeter Park Dr Ste 121
Nashville, TN 37211-4128
Phone (615) 333-0904

Other practice location 27

3418 Midcourt Rd Ste 105
Carrollton, TX 75006-4944
Phone (800) 786-8015

Other practice location 28

460 Smith St Ste A
Middletown, CT 06457-1594
Phone (860) 398-5454

Other practice location 29

1660 E Main St Ste 105
Plainfield, IN 46168-1863
Phone (317) 839-2117

Other practice location 30

7700 Brush Hill Rd
Burr Ridge, IL 60527-7544
Phone (630) 521-1010

Other practice location 31

95-202 Halepio Pl
Mililani, HI 96789-5552
Phone (800) 786-8015

Other practice location 32

2 Jonathan Dr
Brockton, MA 02301-5549
Phone (508) 313-0070

Other identifiers 32

IdentifierTypeStateIssuer
03340952MedicaidNY
0389137000OtherPAIBC
19531OtherPAHEALTH/SENIOR PARTNERS
499596OtherNJAETNA
0389137000OtherPAAMERIHEALTH
10026119900MedicaidNE
10661OtherPAELDERHEALTH
118225200OtherNJDEPT. OF LABOR
1639140387MedicaidMI
1639140387MedicaidMO
200726830AMedicaidKS
3910006905MedicaidWV
1035442OtherNJHORIZON MERCEY
250540997MedicaidDE
7660804MedicaidNJ
119726MedicaidAL
2839585MedicaidOH
1487954913MedicaidIA
1639140387MedicaidPA
7100156790MedicaidKY
91000047800OtherNJAMERICHOICE
1639140387MedicaidVA
417010500MedicaidMD
SL0101MedicaidSC
200409010AMedicaidOK
200980860AMedicaidIN
2563931OtherPAAETNA
0015026330013MedicaidPA
038913700OtherPAKEYSTONE
1487954913MedicaidMN
1523253MedicaidTN
3081146MedicaidNH

Other names 1

  • TridentCare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ, DE, OH, MA, RI, CT, MD, MI, IN, DC, VA, AL, KS, SC, NH, TN, GA, KY, MO, NV, CA, HI, TX, IL, AZ, NC, WA, FL, ME, VT31 enrollments

Enrollment records 31

Enrollment IDStateProvider typePAC IDDetails
O20040108001087 PA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1355241274 Practice locations: Horsham, PA
O20050310000514 NJ Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1355241274 Practice locations: Piscataway, NJ
O20050720000880 DE Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1355241274 Practice locations: Seaford, DE
O20070608000257 OH Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1355241274 Practice locations: Columbus, OH
O20080806000184 MA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1355241274 Practice locations: Brockton, MA
O20080807000231 RI Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1355241274 Practice locations: Johnston, RI
O20081009000006 CT Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1355241274 Practice locations: Middletown, CT
O20090123000093 MD Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1355241274 1 other NPI on this enrollment
Practice locations: Baltimore, MD
O20090206000060 MI Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1355241274 Practice locations: Southfield, MI
O20090825000029 IN Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1355241274 Practice locations: Plainfield, IN
O20090902000626 DC Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1355241274 Practice locations: Baltimore, MD
O20090909000222 VA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1355241274 Receives reassigned benefits from 1 practitioner
Practice locations: Richmond, VA
O20100113000556 AL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1355241274 Practice locations: Montgomery, AL
O20100119000013 KS Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1355241274 Practice locations: Overland Park, KS
O20100415000868 SC Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1355241274 Practice locations: West Columbia, SC
O20101103000071 NH Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1355241274 Practice locations: Manchester, NH
O20110215000587 TN Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1355241274 Receives reassigned benefits from 18 practitioners
Practice locations: Nashville, TN
O20110218000214 GA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1355241274 Practice locations: Hapeville, GA
O20110311000425 KY Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1355241274 Practice locations: Louisville, KY
O20110609000778 MO Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1355241274 Practice locations: Saint Louis, MO
O20170314000932 NV Part B Supplier - Clinic/Group Practice 1355241274 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV
O20170317001102 CA Part B Supplier - Clinic/Group Practice 1355241274 Receives reassigned benefits from 10 practitioners
Practice locations: Oceanside, CA; Manteca, CA
O20170327001211 HI Part B Supplier - Clinic/Group Practice 1355241274 Receives reassigned benefits from 3 practitioners
Practice locations: Mililani, HI
O20170327001981 TX Part B Supplier - Clinic/Group Practice 1355241274 Receives reassigned benefits from 36 practitioners
Practice locations: Carrollton, TX
O20170411001369 IL Part B Supplier - Clinic/Group Practice 1355241274 Receives reassigned benefits from 19 practitioners
Practice locations: Burr Ridge, IL
O20170421001581 AZ Part B Supplier - Clinic/Group Practice 1355241274 Receives reassigned benefits from 6 practitioners
Practice locations: Phoenix, AZ
O20170502001787 NC Part B Supplier - Clinic/Group Practice 1355241274 Receives reassigned benefits from 15 practitioners
Practice locations: Raleigh, NC
O20170509002784 WA Part B Supplier - Clinic/Group Practice 1355241274 Receives reassigned benefits from 12 practitioners
Practice locations: Tukwila, WA
O20170519002150 FL Part B Supplier - Clinic/Group Practice 1355241274 Receives reassigned benefits from 12 practitioners
Practice locations: Clearwater, FL
O20210114001001 ME Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1355241274 Practice locations: Portland, ME
O20210708001451 VT Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1355241274 Practice locations: Brattleboro, VT

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
01D2197465N T Screening Services5766 Carmichael Parkway, Montgomery, AL 36117Certificate of waiverOct 25, 2026

National Provider Directory

National Provider Directory

Locations

75 Berlin Rd
Ste 112A
Cromwell, CT 06416
Phone (860) 398-5454

1109 Middleford Rd
Ste A
Seaford, DE 19973
Phone (302) 628-4209

13773 Icot Blvd
Ste 502
Clearwater, FL 33760
Phone (727) 443-0389

9110 Leesgate Rd
Ste 6
Louisville, KY 40222
Phone (267) 532-5146

1372 Hancock St
Ste 302
Quincy, MA 02169
Phone (617) 774-1113

260 Gateway Dr
Ste 15C
Bel Air, MD 21014
Phone (410) 638-5083

891 Brighton Ave
Ste 32ND
Portland, ME 04102
Phone (207) 253-2446

21455 Melrose Ave
Bldg R
Southfield, MI 48075
Phone (248) 948-7939

8030 Old Cedar Ave S
Ste 124
Bloomington, MN 55425
Phone (952) 854-5037

8030 Old Cedar Ave S
Ste 226
Bloomington, MN 55425
Phone (866) 682-5454

8801 E 63rd St
Ste 108
Raytown, MO 64133
Phone (816) 313-6114

230 Goodman Rd E
Ste 203
Southaven, MS 38671
Phone (662) 536-6020

836 Candia Rd
Manchester, NH 03109
Phone (207) 773-4199

7150 N Park Dr
Ste 560
Pennsauken, NJ 08109

6185 Huntley Rd
Ste A
Columbus, OH 43229
Phone (614) 431-5455

13 Armand Hammer Blvd
Pottstown, PA 19464
Phone (610) 323-3100

1206 Hartford Ave
Apt F
Johnston, RI 02919
Phone (401) 228-3464

1206 Hartford Ave
Ste F
Johnston, RI 02919
Phone (401) 831-8343

651 E 4th St
Ste 100
Chattanooga, TN 37403
Phone (423) 648-9863

301 S Perimeter Park Dr
Ste 121
Nashville, TN 37211
Phone (615) 333-0904

555 5th Ave
Ste B
Huntington, WV 25701
Phone (304) 522-3635

Practitioners & affiliated clinicians

Practitioners 111

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.

View all 111

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773187200000",
    "number": "1639140387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 SCHILLING CIR STE 114",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210311113",
            "telephone_number": "800-786-8015",
            "fax_number": "410-472-1754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 LORD BALTIMORE DRIVE",
            "address_2": "SUITE E",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212442639",
            "telephone_number": "410-295-3565",
            "fax_number": "443-842-7264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4400 140th Ave N Ste 200-230",
            "address_purpose": "LOCATION",
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            "fax_number": "443-842-7264",
            "country_name": "United States",
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        },
        {
            "address_1": "2550 Corporate Exchange Dr Ste 15",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432311660",
            "country_code": "US",
            "telephone_number": "614-431-5455",
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        {
            "address_1": "1206 Hartford Ave Ste F",
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            "postal_code": "029197131",
            "country_code": "US",
            "telephone_number": "401-831-8343",
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            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3801 Computer Dr Ste 103A",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276096506",
            "country_code": "US",
            "telephone_number": "800-786-8015",
            "fax_number": "443-842-7264",
            "country_name": "United States",
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            "address_1": "836 Candia Rd",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031095203",
            "country_code": "US",
            "telephone_number": "207-773-4199",
            "fax_number": "443-842-7264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7010 S Yale Ave Ste 106",
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            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741365702",
            "country_code": "US",
            "telephone_number": "539-867-4348",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 Gibraltar Rd",
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            "city": "Horsham",
            "state": "PA",
            "postal_code": "190442303",
            "country_code": "US",
            "telephone_number": "215-957-1280",
            "fax_number": "443-842-7264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7355 Prairie Falcon Rd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891280801",
            "country_code": "US",
            "telephone_number": "800-786-8015",
            "fax_number": "443-842-7264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5766 Carmichael Pkwy",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361172351",
            "country_code": "US",
            "telephone_number": "443-662-4101",
            "fax_number": "443-842-7264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "965 E Yosemite Ave Ste 24",
            "address_purpose": "LOCATION",
            "city": "Manteca",
            "state": "CA",
            "postal_code": "953365944",
            "country_code": "US",
            "telephone_number": "800-786-8015",
            "fax_number": "443-842-7264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2141 S El Camino Real Ste A&b",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920549003",
            "country_code": "US",
            "telephone_number": "800-786-8015",
            "fax_number": "443-842-7264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3223 Sunset Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "West Columbia",
            "state": "SC",
            "postal_code": "291693200",
            "country_code": "US",
            "telephone_number": "803-772-2411",
            "fax_number": "443-842-7264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2116 Dabney Rd Ste A1",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232303341",
            "country_code": "US",
            "telephone_number": "804-213-9712",
            "fax_number": "443-842-7264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 Technology Dr Ste M2",
            "address_purpose": "LOCATION",
            "city": "Brattleboro",
            "state": "VT",
            "postal_code": "053019181",
            "country_code": "US",
            "telephone_number": "802-257-9960",
            "fax_number": "443-842-7264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2502 E University Dr Ste 290",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850346932",
            "country_code": "US",
            "telephone_number": "800-786-8015",
            "fax_number": "443-842-7264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11012 Lin Valle Dr Ste G",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631237217",
            "country_code": "US",
            "telephone_number": "314-487-2364",
            "fax_number": "443-842-7264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10580 Barkley St Ste 415",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662121850",
            "country_code": "US",
            "telephone_number": "913-901-0140",
            "fax_number": "443-842-7264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1109 Middleford Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Seaford",
            "state": "DE",
            "postal_code": "199733607",
            "country_code": "US",
            "telephone_number": "302-628-4209",
            "fax_number": "443-842-7264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9110 Leesgate Rd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402225053",
            "country_code": "US",
            "telephone_number": "502-749-1723",
            "fax_number": "443-842-7264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Virginia Ave Ste 302",
            "address_purpose": "LOCATION",
            "city": "Hapeville",
            "state": "GA",
            "postal_code": "303541367",
            "country_code": "US",
            "telephone_number": "404-763-7999",
            "fax_number": "443-842-7264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "891 Brighton Ave Ste 32nd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041021056",
            "country_code": "US",
            "telephone_number": "207-253-2446",
            "fax_number": "443-842-7264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21900 Melrose Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480757967",
            "country_code": "US",
            "telephone_number": "248-948-7939",
            "fax_number": "443-842-7264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7776 S Pointe Pkwy W Ste 150A",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850445427",
            "country_code": "US",
            "telephone_number": "800-786-8015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "133 Fleming St",
            "address_purpose": "LOCATION",
            "city": "Piscataway",
            "state": "NJ",
            "postal_code": "088543350",
            "country_code": "US",
            "telephone_number": "732-752-9408",
            "fax_number": "443-842-7264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1134 Industry Dr",
            "address_purpose": "LOCATION",
            "city": "Tukwila",
            "state": "WA",
            "postal_code": "981884803",
            "country_code": "US",
            "telephone_number": "800-786-8015",
            "fax_number": "443-842-7264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 S Perimeter Park Dr Ste 121",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372114128",
            "country_code": "US",
            "telephone_number": "615-333-0904",
            "fax_number": "443-842-7264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3418 Midcourt Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "TX",
            "postal_code": "750064944",
            "country_code": "US",
            "telephone_number": "800-786-8015",
            "fax_number": "443-842-7264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
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            "address_1": "95-202 Halepio Pl",
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        {
            "address_1": "2 Jonathan Dr",
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        {
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            "issuer": "HORIZON MERCEY",
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            "identifier": "200980860A",
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            "identifier": "0015026330013",
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            "code": "05",
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}

Other providers in Windsor Mill, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; 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.