Applied Immunogenetics Laboratory

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

APPLIED IMMUNOGENETICS LABORATORY

Practice address

11419 Cronridge Dr Ste 17
Owings Mills, MD 21117-6283

Phone

(443) 668-7242

NPI assigned

Feb 12, 2020

Organization subpart

No

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

Authorized official

Name

Inessa Kaplan

Title

Coo

Phone

(443) 668-7242

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1689206112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11419 CRONRIDGE DR STE 17",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211176283",
            "telephone_number": "443-668-7242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11419 CRONRIDGE DR STE 17",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211176283",
            "telephone_number": "443-668-7242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLIED IMMUNOGENETICS LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "KAPLAN",
        "authorized_official_first_name": "INESSA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "443-668-7242"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kidist Tamirat Arficho, M.D.

• Clinical Medical Laboratory in Owings Mills, MD
• Providers in Owings Mills, 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 Feb 12, 2020; 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.