CYTODIAGNOSTICS, INC (NPI# 1700874526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700874526 |
| Entity Type | Organization |
| Organization Name | CYTODIAGNOSTICS, INC |
| Practice Address |
711 W 40th St Suite 355 Baltimore MD 21211-2120 |
| Mailing Address |
711 W 40th St Baltimore MD 21211-2145 |
| Practice Telephone | 4102439710 |
| Mailing Telephone | 4102439710 |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JUAN SURIEL (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 4102439710 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 235 | MD | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | BLUECROSS DC METRO/GHMSI | T4070001 | 01 |
| Street Address |
711 W 40TH ST SUITE 355 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21211-2120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417943309 | Chul Soo Kwon | Psychiatry & Neurology | 711 W 40th St, Ste 406, Baltimore, MD 21211 | 2005-09-26 |
| 1336605450 | Jordan Brand | Counselor | 711 W 40th St, Baltimore, MD 21211-2120 | 2019-02-13 |
| 1114427325 | Akwaugo Amuchie | Pharmacist | 711 W 40th St, Baltimore, MD 21211-2120 | 2018-02-14 |
| 1851815567 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 711 W 40th St, Baltimore, MD 21211-2120 | 2017-08-03 |
| 1588118475 | Katie Bisson Riggs | Social Worker | 711 W 40th St, Suite 316, Baltimore, MD 21211-2120 | 2016-08-08 |
| 1104274547 | Cpe Clinic LLC | Social Worker | 711 W 40th St, 428, Baltimore, MD 21211-2120 | 2016-05-26 |
| 1295191690 | Maryland Sportscare & Rehab, LLC | Physical Therapist | 711 W 40th St, Ste 352, Baltimore, MD 21211-2120 | 2016-01-14 |
| 1073986238 | Kelly Kostic | Pharmacist | 711 W 40th St, Baltimore, MD 21211-2120 | 2015-11-09 |
| 1780053835 | Latoya Lawrence | Pediatrics | 711 W 40th St, 429, Baltimore, MD 21211-2120 | 2015-09-18 |
| 1760881072 | Bernard O Boateng | Pharmacist | 711 W 40th St, Baltimore, MD 21211-2120 | 2014-08-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598308322 | Deep Roots Wellness | Social Worker | 733 W. 40th Street, Print Shop Building Suite 20, Baltimore, MD 21211 | 2019-10-24 |
| 1194214981 | Heather Carr Bergan | Physical Therapy Assistant | Roland Park Place Rehab Dept., 830 W 40th St, Baltimore, MD 21211 | 2018-05-07 |
| 1427546100 | Rebecca Meredith | Student in an Organized Health Care Education/Training Program | 843 Powers St, Baltimore, MD 21211 | 2018-04-27 |
| 1851896534 | Dexter Kendrick | Acupuncturist | 2700 Reminton Ave, Baltimore, MD 21211 | 2018-03-26 |
| 1770092678 | Bethany Grove | Counselor | 3433 Chestnut Ave, Baltimore, MD 21211 | 2017-09-22 |
| 1184140857 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2700 Remington Ave Ste 500, Baltimore, MD 21211 | 2017-08-15 |
| 1528589116 | Natalie C Hung | Psychologist | 623 W 34th St Ste 105, Baltimore, MD 21211 | 2017-07-05 |
| 1003359332 | Hannah Elise Rose | Counselor | 711 W 40th Street, Suite 425, Baltimore, MD 21211 | 2016-11-17 |
| 1376091876 | Penelope Kaikis | Speech-Language Pathologist | 3825 Greenspring Avenue, Baltimore, MD 21211 | 2016-09-14 |
| 1265862429 | Alexandra Theo Samets | Social Worker | The Baltimore Center for Psychotherapy, 623 West 34th Street #105, Baltimore, MD 21211 | 2013-11-25 |
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| 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. |
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| 1336650605 | Patapsco Ave Health Services | Clinical Medical Laboratory | 1017 E Patapsco Ave, Baltimore, MD 21225-2228 | 2017-10-13 |
| 1154850063 | Maximum Lab Services, LLC | Clinical Medical Laboratory | 2211 Maryland Ave Ste A, Baltimore, MD 21218-5627 | 2017-06-06 |
| 1073925517 | Sysmex Inostics, Inc. | Clinical Medical Laboratory | 1812 Ashland Ave, Suite 500, Baltimore, MD 21205-1546 | 2014-06-02 |
| 1245655067 | Carepoint Diagnostic Services, Ltd | Clinical Medical Laboratory | 7416 Harford Rd, Baltimore, MD 21234-7107 | 2014-03-03 |
| 1366776551 | Brt Laboratories, Inc. | Clinical Medical Laboratory | 400 W Franklin St, Baltimore, MD 21201-1811 | 2009-09-22 |
| 1265685440 | Ccc Diagnostics, LLC | Clinical Medical Laboratory | 3918 Vero Road, Suite B, Baltimore, MD 21227-1522 | 2008-10-31 |
| 1518150846 | Howard H. Bond,m.d | Clinical Medical Laboratory | 9618 Belair Rd, Baltimore, MD 21236-1104 | 2007-08-21 |
| 1942425905 | Ophthalmic Photography Inc | Clinical Medical Laboratory | 3131 Enclave Ct, Baltimore, MD 21208-3337 | 2007-04-16 |
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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.