Active NPI
Cytodiagnostics, Inc
- Clinical Medical Laboratory
- Baltimore, MD
National Provider Identifier
1700874526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 235
- Legal business name
- CYTODIAGNOSTICS, INC
- Practice address
- 711 W 40TH St
Suite 355
Baltimore, MD 21211-2120 - Phone
- (410) 243-9710
- NPI assigned
- Oct 6, 2005
- Last updated
- Aug 22, 2020
- 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
- Dr. Juan Suriel, M.D.
- Title
- Medical Director
- Phone
- (410) 243-9710
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 235 | MD | Primary |
Addresses
Primary practice location
711 W 40TH St
Suite 355
Baltimore, MD 21211-2120
Mailing address
711 W 40TH St
Baltimore, MD 21211-2145
Phone (410) 243-9710
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T4070001 | Other | MD | BLUECROSS DC METRO/GHMSI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128556800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1700874526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 W 40TH ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212112145",
"telephone_number": "410-243-9710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 W 40TH ST",
"address_2": "SUITE 355",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212112120",
"telephone_number": "410-243-9710"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CYTODIAGNOSTICS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SURIEL",
"authorized_official_first_name": "JUAN",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "410-243-9710",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "MD",
"license": "235",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS DC METRO/GHMSI",
"identifier": "T4070001",
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.