Organization Active NPI

Friends Medical Laboratory Inc.

  • Clinical Medical Laboratory
  • Baltimore, MD
National Provider Identifier
1700825114
Registry record updated Feb 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
168 Issued in MD
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
10034653MedicaidDE
439938200MedicaidMD

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.