Organization Active NPI

Laboratory RX, LLC

  • Clinical Medical Laboratory
  • Frederick, MD
National Provider Identifier
1689923989
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
LABORATORY RX, LLC
Practice address
92 Thomas Johnson Dr Ste 205
Frederick, MD 21702-4403
Phone
(240) 815-5449
NPI assigned
Aug 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Authorized official

Name
Aura Ionita
Title
Practice Administrator
Phone
(703) 522-2727

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Pathology/Laboratory Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0105X MD
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

92 Thomas Johnson Dr Ste 205
Frederick, MD 21702-4403

Mailing address

217 E Churchville Rd
Bel Air, MD 21014-3825
Phone (410) 698-2665

Other identifiers 2

IdentifierTypeStateIssuer
21D2138383OtherMDCLIA
2726OtherMDLAB CERTIFICATION

National Provider Directory

National Provider Directory

Locations

92 Thomas Johnson Dr
Ste 250
Frederick, MD 21702
Phone (240) 815-5449

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1346371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659052800000",
    "number": "1689923989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 E CHURCHVILLE RD",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143825",
            "telephone_number": "410-698-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 THOMAS JOHNSON DR STE 205",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024403",
            "telephone_number": "240-815-5449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORY RX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-31",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A",
        "authorized_official_last_name": "IONITA",
        "authorized_official_first_name": "AURA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "703-522-2727"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "21D2138383",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LAB CERTIFICATION",
            "identifier": "2726",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; 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.