East Coast Laboratories, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

EAST COAST LABORATORIES, LLC

Practice address

10019 Reisterstown Rd Ste 201
Owings Mills, MD 21117-3950

Phone

(410) 690-3266

NPI assigned

Jan 9, 2018

Organization subpart

No

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

Authorized official

Name

Rodney Blockston

Title

VP

Phone

(410) 303-9923

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551657600000",
    "number": "1831606037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 WOODLAWN DR STE 204",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212074045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10019 REISTERSTOWN RD STE 201",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173950",
            "telephone_number": "410-690-3266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COAST LABORATORIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-09",
        "last_updated": "2019-03-04",
        "status": "A",
        "authorized_official_last_name": "BLOCKSTON",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "410-303-9923"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "21D2143145",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Owings Mills, MD
• Providers in Owings Mills, MD by specialty
• Clinical Medical Laboratory in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.