NPIMap

Organization Active NPI

St. Mary'S Hospital Pathology

  • Clinical Medical Laboratory
  • Leonardtown, MD
National Provider Identifier
1770540338
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
970087 Issued in MD
Legal business name
ST. MARY'S HOSPITAL PATHOLOGY
Practice address
25500 Point Lookout Road
Leonardtown, MD 20650-0527
Phone
(240) 434-7100
Fax
(301) 475-6188
NPI assigned
Apr 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Allan H Burbage
Title
Director Revenue Cycle Management
Phone
(240) 434-7100

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 970087 MD Primary
Clinical Medical Laboratory 291U00000X 060 MD
Clinical Medical Laboratory 291U00000X TB060 MD

Addresses

Primary practice location

25500 Point Lookout Road
Leonardtown, MD 20650-0527

Mailing address

25500 Point Lookout Road
Leonardtown, MD 20650-0527
Phone (240) 434-7100

National Provider Directory

National Provider Directory
Tax ID family
St Mary'S Hospital Specialists12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770540338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25500 POINT LOOKOUT ROAD",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206500527",
            "telephone_number": "240-434-7100",
            "fax_number": "301-475-6188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25500 POINT LOOKOUT ROAD",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206500527",
            "telephone_number": "240-434-7100",
            "fax_number": "301-475-6188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARY'S HOSPITAL PATHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURBAGE",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DIRECTOR REVENUE CYCLE MANAGEMENT",
        "authorized_official_telephone_number": "240-434-7100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MD",
            "license": "970087",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MD",
            "license": "060",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MD",
            "license": "TB060",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leonardtown, 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.

Verify at the official NPI Registry.