Chesapeake Clinical Laboratories, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CHESAPEAKE CLINICAL LABORATORIES, LLC

Practice address

131 S Union Ave Ste B
Havre de Grace, MD 21078-3138

Phone

(443) 502-1340

Fax

(443) 406-3731

NPI assigned

May 23, 2018

Organization subpart

No

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

Authorized official

Name

Samina Kousar

Title

Member

Phone

(443) 485-7183

Specialties & licenses 1

Addresses

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": "1527033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559174400000",
    "number": "1861983033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 S UNION AVE STE B",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783138",
            "telephone_number": "443-502-1340",
            "fax_number": "443-406-3731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 S UNION AVE STE B",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783138",
            "telephone_number": "443-502-1340",
            "fax_number": "443-406-3731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESAPEAKE CLINICAL LABORATORIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-23",
        "last_updated": "2019-05-30",
        "status": "A",
        "authorized_official_last_name": "KOUSAR",
        "authorized_official_first_name": "SAMINA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "443-485-7183"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vicente Reyes Carag Jr., M.D.
• Lisa Rosina Carchedi, MD
• Sarah Elizabeth Cardenas, LMSW
• Dilveer Chahal
• Mischaleta Chaney
• Chesapeake Urology Associates P.a.
• Chester and Stauffer, LLC
• Cole Chester, DDS
• Kristin Choate, RBT
• Kyle Matthew Chojnacki

• Clinical Medical Laboratory in Havre de Grace, MD
• Providers in Havre de Grace, 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 May 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.