FRESH START RECOVERY LAB (NPI# 1184158826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184158826 |
| Entity Type | Organization |
| Organization Name | FRESH START RECOVERY LAB |
| Practice Address |
15886 Gaither Dr Gaithersburg MD 20877-1404 |
| Practice Telephone | 9542342469 |
| Practice Fax Number | 9542040464 |
| Mailing Telephone | 9542342469 |
| Mailing Fax Number | 9542040464 |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2017-04-19 |
| Authorized Official Name | CATHY PICILLO (OFFICE MANAGER) |
| Authorized Official Telephone | 9542342469 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRESH START RECOVERY CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 21D2127826 | MD | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | CENTER MEDICARE MEDICAID | 21D2127826 | 01 |
| Street Address |
15886 GAITHER DR |
| City | GAITHERSBURG |
| State | MD |
| Zip Code | 20877-1404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295272482 | Fresh Start Recovery Center LLC | Clinic/Center | 15886 Gaither Dr, Suite B, Gaithersburg, MD 20877-1404 | 2017-01-25 |
| 1366981672 | Fresh Start Recovery | Psychologist | 15886 Gaither Dr, Gaithersburg, MD 20877-1404 | 2017-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083182083 | Elizabeth Schuman | Physical Therapist | 8100 Midcounty Highway, Gaithersburg, MD 20877 | 2018-11-07 |
| 1528544970 | Stephanie Lucas | Behavior Technician | 17755 Larchmont Ter, Gaithersburg, MD 20877 | 2018-07-18 |
| 1508351370 | National Vision, Inc. | Technician/Technologist | 18304 Contour Road, Montgomery Village, MD 20877 | 2018-06-25 |
| 1912496993 | Elias Kamal Abdi | Dentist | 200 Girard Street, #106, Gaithersburg, MD 20877 | 2018-05-06 |
| 1942741947 | Emily Katherine Griffin | Counselor | 501 N Frederick Ave Ste 300, Gaithersburg, MD 20877 | 2017-03-10 |
| 1285004317 | Institute for Family Centered Services | Community/Behavioral Health | 1600 S Frederick Ave, Suite 312, Gaithersburg, MD 20877 | 2015-10-01 |
| 1083097893 | Sylwia Patrycja Fowler | Psychiatry & Neurology | 604 S Frederick Ave Ste 211, Gaithersburg, MD 20877 | 2015-06-30 |
| 1962896126 | Estefania Ospina | Social Worker | 16220 Frederick Rd., Suite 310, Gaithersburg, MD 20877 | 2015-03-26 |
| 1619306206 | Patricia Elizabeth Deleon | Registered Nurse | 702 Russell Ave., #100, Gaithersburg, MD 20877 | 2013-11-05 |
| 1669805719 | International Pediatrics Pa | Pediatrics | 501 North Fredrick Ave Ste 212, Gaithersburg, MD 20877 | 2013-08-13 |
| Find all providers in zip 20877 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982941423 | Benign Diagnostics | Clinical Medical Laboratory | 7858 Beechcraft Ave, Gaithersburg, MD 20879-1542 | 2013-01-03 |
| 1487609350 | Neodiagnostix, Inc. | Clinical Medical Laboratory | 910 Clopper Rd, Suite 240s, Gaithersburg, MD 20878-1361 | 2006-05-22 |
| 1760481568 | Carla B Macleod Md & Associates PC | Clinical Medical Laboratory | 18207a Flower Hill Way, Gaithersburg, MD 20879-5331 | 2005-07-14 |
| 1972113587 | Carla B. Macleod M.d. & Associates LLC | Clinical Medical Laboratory | 18207a Flower Hill Way, Gaithersburg, MD 20879-5331 | 2020-08-07 |
| 1841793445 | Silbiotech, Incorporated | Clinical Medical Laboratory | 7858 Beechcraft Ave, Gaithersburg, MD 20879 | 2018-03-10 |
| 1083152698 | Advance Laboratories LLC | Clinical Medical Laboratory | 19614 Club House Rd, Gaithersburg, MD 20886-3035 | 2017-02-02 |
| 1245512110 | Kaiser Foundation Health Plan of The Mid-atlantic States,inc | Clinical Medical Laboratory | 655 Watkins Mill Rd, Gaithersburg, MD 20879-3323 | 2011-09-15 |
| 1841455565 | Panacea Pharmaceuticals, Inc. | Clinical Medical Laboratory | 207 Perry Pkwy, Suite 2, Gaithersburg, MD 20877-2142 | 2008-07-22 |
| 1013176957 | Carla B. Macleod M.d. & Associates LLC | Clinical Medical Laboratory | 18207a Flower Hill Way, Gaithersburg, MD 20879-5331 | 2008-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619574431 | Hope Health Systems Inc | Clinical Medical Laboratory | 1726 Whitehead Rd Ofc, Gwynn Oak, MD 21207-4003 | 2020-10-05 |
| 1396356846 | Qualvita Diagnostics | Clinical Medical Laboratory | 9101 Cherry Ln Ste 213, Laurel, MD 20708-1151 | 2020-08-10 |
| 1467070672 | Diverse Diagnostics LLC | Clinical Medical Laboratory | 10019 Reisterstown Rd Ste 214, Owings Mills, MD 21117-3902 | 2020-07-14 |
| 1669095600 | Aeon Technologies, LLC | Clinical Medical Laboratory | 1 Technology Dr Ste 1600, Frostburg, MD 21532-2499 | 2020-05-26 |
| 1093336349 | Personalized Medicine Care Diagnostics LLC | Clinical Medical Laboratory | 20271 Goldenrod Ln Fl 2, Germantown, MD 20876-4064 | 2020-04-28 |
| 1164058525 | Parj Diagnostics LLC | Clinical Medical Laboratory | 10019 Reisterstown Rd Ste 211, Owings Mills, MD 21117-3902 | 2020-03-18 |
| 1437785896 | Meta Science LLC | Clinical Medical Laboratory | 10019 Reisterstown Rd Ste 213, Owings Mills, MD 21117-3902 | 2020-03-18 |
| 1154956159 | Almat Bio Solutions LLC | Clinical Medical Laboratory | 10019 Reisterstown Rd Ste 212, Owings Mills, MD 21117-3902 | 2020-03-10 |
| 1689206112 | Applied Immunogenetics Laboratory | Clinical Medical Laboratory | 11419 Cronridge Dr Ste 17, Owings Mills, MD 21117-6283 | 2020-02-12 |
| 1033749296 | Mprobe Inc | Clinical Medical Laboratory | 9600 Medical Center Dr Ste 300, Rockville, MD 20850-6329 | 2020-01-16 |
| Find all providers with the same taxonomy | ||||
| City | GAITHERSBURG |
| Zip Code | 20877 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.