Individual provider Active NPI

Minata Saddy, MLS MHA SSM

  • Clinical Medical Laboratory
  • Rockville, MD
National Provider Identifier
1811762180
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Practice address
14816 Physicians LN Ste 252
Rockville, MD 20850-3967
Phone
(443) 430-0204
Fax
(240) 238-6787
NPI assigned
Nov 16, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

14816 Physicians LN Ste 252
Rockville, MD 20850-3967

Mailing address

13562 Waterford Hills Blvd
Germantown, MD 20874-4654
Phone (240) 299-6339

Other names 1

  • Minata Sangare Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nys Diagnostics & Supply, LLC Clinical Medical Laboratory CurrentSince Jan 26, 2025 Accepting new patients

Locations

14816 Physicians Ln
Ste 252
Rockville, MD 20850
Phone (301) 648-6300

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1700092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1811762180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13562 WATERFORD HILLS BLVD",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208744654",
            "telephone_number": "240-299-6339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14816 PHYSICIANS LN STE 252",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503967",
            "telephone_number": "443-430-0204",
            "fax_number": "240-238-6787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADDY",
        "first_name": "MINATA",
        "credential": "MLS MHA SSM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-16",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MINATA",
            "last_name": "SANGARE",
            "credential": "MLS MHA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; 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.