Active NPI
Real Diagnostics, LLC
Doing business as Real Diagnostics
- Clinical Medical Laboratory
- Reisterstown, MD
National Provider Identifier
1750272399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- REAL DIAGNOSTICS, LLC
- Doing business as
- Real Diagnostics
- Practice address
- 200 Business Center Dr
Reisterstown, MD 21136-1230 - Phone
- (410) 833-3025
- NPI assigned
- Jul 11, 2025
- Organization subpart
- Yes
- Parent organization
- REAL DIAGNOSTICS HOLDINGS, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cary James Breese
- Title
- Ceo
- Phone
- (949) 412-2142
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
200 Business Center Dr
Reisterstown, MD 21136-1230
Mailing address
200 Business Center Dr
Reisterstown, MD 21136-1230
Phone (410) 833-3025
Other names 1
- Real Diagnostics
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251120000335 | MD | Part B Supplier - Independent Clinical Laboratory | 3971095746 | Practice locations: Reisterstown, MD |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2077230 | Real Diagnostics LLC | Accreditation | May 5, 2027 |
National Provider Directory
National Provider DirectoryLocations
200 Business Center Dr
Ste 200
Reisterstown, MD 21136
Phone (410) 833-3025
200 Business Center Dr
Reisterstown, MD 21136
Phone (240) 575-9260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768953600000",
"number": "1750272399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 BUSINESS CENTER DR",
"city": "REISTERSTOWN",
"state": "MD",
"postal_code": "211361230",
"telephone_number": "410-833-3025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 BUSINESS CENTER DR",
"city": "REISTERSTOWN",
"state": "MD",
"postal_code": "211361230",
"telephone_number": "410-833-3025"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REAL DIAGNOSTICS, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "REAL DIAGNOSTICS HOLDINGS, LLC",
"enumeration_date": "2025-07-11",
"last_updated": "2026-01-21",
"certification_date": "2026-01-21",
"status": "A",
"authorized_official_last_name": "BREESE",
"authorized_official_first_name": "CARY",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "949-412-2142"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Real Diagnostics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Reisterstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.