NPIMap

Organization Active NPI

Clearscreen LLC

  • Phlebotomy Technician
  • Baltimore, MD
National Provider Identifier
1790532323
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
Legal business name
CLEARSCREEN LLC
Practice address
1160 E Northern Pkwy # 116
Baltimore, MD 21239-1933
Phone
(443) 374-8188
Fax
(410) 297-0234
NPI assigned
May 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Authorized official

Name
Shantidra BaileyNPI 1760112742
Title
Owner
Phone
(443) 374-8188

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 246RP1900X Primary

Addresses

Primary practice location

1160 E Northern Pkwy # 116
Baltimore, MD 21239-1933

Mailing address

1443 Rock Spring Rd
Bel Air, MD 21014-1920
Phone (443) 374-8188

Other names 1

  • CLEARSCREEN LLC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1790532323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1443 ROCK SPRING RD",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210141920",
            "telephone_number": "443-374-8188",
            "fax_number": "410-297-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 E NORTHERN PKWY # 116",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212391933",
            "telephone_number": "443-374-8188",
            "fax_number": "410-297-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARSCREEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "SHANTIDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-374-8188"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLEARSCREEN LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 May 1, 2024; 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.