Active NPI
Laboratory RX, LLC
- Clinical Medical Laboratory
- Frederick, MD
National Provider Identifier
1689923989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Pathology/Laboratory Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21D2138383 | Other | MD | CLIA |
| 2726 | Other | MD | LAB CERTIFICATION |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Orthopaedic Surgery Physician
- Stafford, VA
- NPI 1518967207
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.