Active NPI
Friends Medical Laboratory Inc.
- Clinical Medical Laboratory
- Baltimore, MD
National Provider Identifier
1700825114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 168
- Legal business name
- FRIENDS MEDICAL LABORATORY INC.
- Practice address
- 5820 Southwestern Blvd
Baltimore, MD 21227-4402 - Phone
- (410) 247-4417
- Fax
- (410) 247-4426
- NPI assigned
- Jun 5, 2006
- Last updated
- Feb 2, 2015
- 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
- Myron E. Shiplet
- Title
- Vice President
- Phone
- (410) 247-4417
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 168 | MD | Primary |
Addresses
Primary practice location
5820 Southwestern Blvd
Baltimore, MD 21227-4402
Mailing address
5820 Southwestern Blvd
Baltimore, MD 21227-4402
Phone (410) 247-4417
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10034653 | Medicaid | DE | |
| 439938200 | Medicaid | MD |
National Provider Directory
National Provider DirectoryLocations
5820 Southwestern Blvd
Baltimore, MD 21227
Phone (410) 247-4417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1422835200000",
"number": "1700825114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5820 SOUTHWESTERN BLVD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212274402",
"telephone_number": "410-247-4417",
"fax_number": "410-247-4426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5820 SOUTHWESTERN BLVD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212274402",
"telephone_number": "410-247-4417",
"fax_number": "410-247-4426"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRIENDS MEDICAL LABORATORY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-05",
"last_updated": "2015-02-02",
"status": "A",
"authorized_official_last_name": "SHIPLET",
"authorized_official_first_name": "MYRON",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "410-247-4417"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "MD",
"license": "168",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10034653",
"state": "DE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "439938200",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
- Yael Friedman, LCSW-C
- Nicolette M Friedrich
- Delia Margaret Friel
- Madison Friel, RD
- Marquita Friend
- Friends Research Institute
- Friends Research Institute, Inc. (Epoch Counseling Center)
- Friends Research Institute, Inc. (Epoch Counseling Center)
- Friendship Care Inc. (Friendship Adult Medical Day Center)
- Amanda Patricia Fries, ATC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.