Patriot Medical Laboratories LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

21D2074025 Issued in MD

Legal business name

PATRIOT MEDICAL LABORATORIES LLC

Doing business as

Cian Diagnostics

Practice address

5325 Spectrum Dr
Frederick, MD 21703-7339

Phone

(240) 396-4343

Fax

(240) 396-4345

NPI assigned

Jan 30, 2014

Last updated

May 27, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sombabu Mullapudi

Title

Owner/Managing Member

Phone

(240) 422-4164

Specialties & licenses 1

Addresses

Other names 1

• Cian Diagnostics Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1391040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716768000000",
    "number": "1710300579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5325 SPECTRUM DR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217037339",
            "telephone_number": "240-396-4343",
            "fax_number": "240-396-4345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5325 SPECTRUM DR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217037339",
            "telephone_number": "240-396-4343",
            "fax_number": "240-396-4345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRIOT MEDICAL LABORATORIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-30",
        "last_updated": "2024-05-27",
        "certification_date": "2024-05-27",
        "status": "A",
        "authorized_official_last_name": "MULLAPUDI",
        "authorized_official_first_name": "SOMBABU",
        "authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
        "authorized_official_telephone_number": "240-422-4164"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MD",
            "license": "21D2074025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cian Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Urvisha Patel, PA-C
• Rachael Patelunas
• Pateric LLC (Robison Orthodontics)
• Debra Paton, OT
• Patrick C. Cheng Ms LCPC LLC
• Hope Patton
• Paul E. Gauthier D.D.S., P.a.
• Paul N Chomiak MD LLC (Center for Chest Disease)
• Sue M Paul
• Melissa Marie Paules, PA-C

• Clinical Medical Laboratory in Frederick, MD
• Providers in Frederick, MD by specialty
• Clinical Medical Laboratory in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.