Organization Active NPI

Diamond Integrated Company

  • Clinical Medical Laboratory
  • Cheverly, MD
National Provider Identifier
1912371709
Registry record updated Nov 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
DIAMOND INTEGRATED COMPANY
Practice address
6005 Landover Rd
104B
Cheverly, MD 20785-1145
Phone
(301) 583-0130
Fax
(301) 341-0860
NPI assigned
Nov 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2015

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

Authorized official

Name
Mr. Influence J Salubi, CPT
Title
Owner
Phone
(301) 583-0130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X MD Primary

Addresses

Primary practice location

6005 Landover Rd
104B
Cheverly, MD 20785-1145

Mailing address

6005 Landover Rd
104B
Cheverly, MD 20785-1145
Phone (301) 583-0130

Other names 1

  • DIC Former legal business name

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2107502Diamond Integrated Company6005 Landover Road #104B, Cheverly, MD 20785Certificate of waiverJan 14, 2028

National Provider Directory

National Provider Directory

Locations

6005 Landover Rd
#104B
Cheverly, MD 20785
Phone (301) 583-0130

NPI Registry JSON

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447718400000",
    "number": "1912371709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 LANDOVER RD",
            "address_2": "104B",
            "city": "CHEVERLY",
            "state": "MD",
            "postal_code": "207851145",
            "telephone_number": "301-583-0130",
            "fax_number": "301-341-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 LANDOVER RD",
            "address_2": "104B",
            "city": "CHEVERLY",
            "state": "MD",
            "postal_code": "207851145",
            "telephone_number": "301-583-0130",
            "fax_number": "301-341-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND INTEGRATED COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-17",
        "last_updated": "2015-11-17",
        "status": "A",
        "authorized_official_last_name": "SALUBI",
        "authorized_official_first_name": "INFLUENCE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-583-0130",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DIC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Cheverly, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; 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.