Organization Active NPI

Medical Diagnosis Aid Center

  • Clinical Medical Laboratory
  • Towson, MD
National Provider Identifier
1790821742
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
263 Issued in MD
Legal business name
MEDICAL DIAGNOSIS AID CENTER
Practice address
300 E Joppa Road
Suite 319
Towson, MD 21286
Phone
(410) 321-0662
Fax
(410) 296-1011
NPI assigned
Jan 29, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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. Ahmed G Awad
Title
Laboratory General Manager
Phone
(410) 321-0662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 263 MD Primary

Addresses

Primary practice location

300 E Joppa Road
Suite 319
Towson, MD 21286

Mailing address

300 E Joppa Road
Suite 319
Towson, MD 21286
Phone (410) 321-0662

Other identifiers 2

IdentifierTypeStateIssuer
39940101OtherBCBS
T1240001OtherFED BCBS

National Provider Directory

National Provider Directory

Locations

300 E Joppa Rd
Ste 319
Towson, MD 21286
Phone (410) 321-0662

300 E Joppa Rd
Ste B20
Towson, MD 21286
Phone (301) 321-0662

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790821742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E JOPPA ROAD",
            "address_2": "SUITE 319",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "21286",
            "telephone_number": "410-321-0662",
            "fax_number": "410-296-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E JOPPA ROAD",
            "address_2": "SUITE 319",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "21286",
            "telephone_number": "410-321-0662",
            "fax_number": "410-296-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL DIAGNOSIS AID CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AWAD",
        "authorized_official_first_name": "AHMED",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "LABORATORY GENERAL MANAGER",
        "authorized_official_telephone_number": "410-321-0662",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MD",
            "license": "263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "39940101",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FED BCBS",
            "identifier": "T1240001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, 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.