Integrated Cellular and Molecular Diagnostics LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

INTEGRATED CELLULAR AND MOLECULAR DIAGNOSTICS LLC

Practice address

6305 Ivy Lane
Suite 100
Greenbelt, MD 20770-6323

Phone

(844) 522-4263

Fax

(301) 363-1099

NPI assigned

Jul 8, 2014

Organization subpart

No

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

Authorized official

Name

Adnan R Khan, MDNPI 1942469770

Title

Owner

Phone

(844) 522-4263

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

Practitioners 3

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

• Adnan R Khan, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Greenbelt, MD
  • NPI 1942469770
  NPD Authorized official
• Thomas A Huebner, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Greenbelt, MD
  • NPI 1427283886
  NPD (past)
• Todd B Sheridan, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Hartford, CT
  • NPI 1336199546
  NPD (past)

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1851707186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6305 IVY LANE",
            "address_2": "SUITE 100",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207706323",
            "telephone_number": "844-522-4263",
            "fax_number": "301-363-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6305 IVY LANE",
            "address_2": "SUITE 100",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207706323",
            "telephone_number": "844-522-4263",
            "fax_number": "301-363-1099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 NW 13th St Ste 304",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334862350",
            "country_code": "US",
            "telephone_number": "844-522-4263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTEGRATED CELLULAR AND MOLECULAR DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-08",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "ADNAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "844-522-4263",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Greenbelt, MD
• Clinical Medical Laboratory in Maryland

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