Silbiotech, Incorporated

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

21D2137469 Issued in MD

Legal business name

SILBIOTECH, INCORPORATED

Practice address

5107 Pegasus CT Ste L
Frederick, MD 21704-8343

Phone

(301) 787-1216

Fax

(301) 987-9724

NPI assigned

Mar 10, 2018

Organization subpart

No

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

Authorized official

Name

Dr. John Gillespie, MD

Title

Clinical Director

Phone

(410) 336-0160

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1520640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1841793445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15807 CHAGALL TER",
            "city": "NORTH POTOMAC",
            "state": "MD",
            "postal_code": "208783461",
            "telephone_number": "301-787-1216",
            "fax_number": "301-987-9724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5107 PEGASUS CT STE L",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217048343",
            "telephone_number": "301-787-1216",
            "fax_number": "301-987-9724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILBIOTECH, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-10",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "GILLESPIE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "410-336-0160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MD",
            "license": "21D2137469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Frederick, MD
• Providers in Frederick, 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 Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.