DIAGNOSTIC HEALTH CORPORATION (NPI# 1720037104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720037104 |
| Entity Type | Organization |
| Organization Name | DIAGNOSTIC HEALTH CORPORATION |
| Other Organization Name | DIAGNOSTIC HEALTH WALDORF |
| Practice Address |
12070 Old Line Ctr Suite 305 Waldorf MD 20602-2513 |
| Mailing Address |
22 Inverness Center Pkwy Suite 425 Birmingham AL 35242-4814 |
| Practice Telephone | 3018704190 |
| Practice Fax Number | 3018704422 |
| Mailing Telephone | 2059814814 |
| Mailing Fax Number | 2059947021 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2011-03-08 |
| Authorized Official Name | MISS DONNA L BURCH (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 2059814814 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| Diagnostic Health Waldorf | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821202615 | Diagnostic Health Corporation | Health Maintenance Organization | 2764 Pelham Pkwy, Pelham, AL 35124-1702 | 2007-05-10 |
| 1093764508 | Diagnostic Health Corporation | Physiological Laboratory | 2128 Park Ave, Orange Park, FL 32073-5584 | 2006-05-10 |
| 1346299864 | Diagnostic Health Corporation | Physiological Laboratory | 744 Kidder St, Suite 101, Wilkes Barre, PA 18702-7015 | 2006-05-10 |
| 1184674335 | Diagnostic Health Corporation | Physiological Laboratory | 1145 Sw 74th St, Oklahoma City, OK 73139-2134 | 2006-05-10 |
| 1235188608 | Diagnostic Health Corporation | Physiological Laboratory | 1850 Sidewinder Dr, Suite 410, Park City, UT 84060-7471 | 2006-05-10 |
| 1528017936 | Diagnostic Health Corporation | Physiological Laboratory | 2229 N Commerce Pkwy, Suite 150, Weston, FL 33326-3239 | 2006-05-10 |
| 1750330122 | Diagnostic Health Corporation | Physiological Laboratory | 7454 Hannover Pkwy S, Suite 100, Stockbridge, GA 30281-7889 | 2006-05-10 |
| 1689623449 | Diagnostic Health Corporation | Physiological Laboratory | 2131 Comer Avenue, Columbus, GA 31904 | 2006-05-09 |
| 1528017415 | Diagnostic Health Corporation | Physiological Laboratory | 1 Cannon Dr, Greenville, SC 29605-4201 | 2006-05-08 |
| 1245289222 | Diagnostic Health Corporation | Physiological Laboratory | 7703 Picardy Ave, Baton Rouge, LA 70808-4338 | 2006-05-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | DIAGNOSTIC HEALTH CORPORATION | 711 Capitol Way S Ste 204, Olympia, WA 98501 |
| Street Address |
12070 OLD LINE CTR SUITE 305 |
| City | WALDORF |
| State | MD |
| Zip Code | 20602-2513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942206412 | Douglas Avery & Associates Ltd | Clinic/Center | 12070 Old Line Ctr, Ste 107, Waldorf, MD 20602-2503 | 2005-06-21 |
| 1104467463 | Maryland Pain & Regenerative Center, LLC | Pain Medicine | 12070 Old Line Ctr, Waldorf, MD 20602-2513 | 2019-10-07 |
| 1578947305 | Larry S. Hotchkiss, Dpm PC | Non-Pharmacy Dispensing Site | 12070 Old Line Ctr, #110, Waldorf, MD 20602-2513 | 2015-07-10 |
| 1851791735 | Pro-perform Spinal Health & Rehab LLC | Chiropractor | 12070 Old Line Ctr, Suite 301, Waldorf, MD 20602-2513 | 2014-08-28 |
| 1427494343 | Denise Colton | Nurse Practitioner | 12070 Old Line Ctr, Suite 302, Waldorf, MD 20602-2513 | 2013-05-18 |
| 1659636082 | Justin G. Pointer | Podiatrist | 12070 Old Line Ctr, Suite 110, Waldorf, MD 20602-2513 | 2012-07-11 |
| 1538437223 | Christine T Gardella | Physician Assistant | 12070 Old Line Ctr, Suite 302, Waldorf, MD 20602-2513 | 2011-12-08 |
| 1265670046 | Dawn Stephanie Christopher | Internal Medicine | 12070 Old Line Ctr, Suite 303, Waldorf, MD 20602-2513 | 2009-02-02 |
| 1548406960 | Surgical Associates, Chartered | Surgery | 12070 Old Line Ctr, Suite 306, Waldorf, MD 20602-2513 | 2009-01-07 |
| 1386812113 | Elizabeth Hurt | Internal Medicine | 12070 Old Line Ctr, Suite 303, Waldorf, MD 20602-2513 | 2008-02-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053964957 | Haeyoung Choi | Pharmacist | 25 Smallwood Village Center, Waldorf, MD 20602 | 2019-07-19 |
| 1679137194 | Brighter Days Family Services Inc | Counselor | 11680 Doolittle Dr #111, Waldorf, MD 20602 | 2019-04-30 |
| 1396227039 | Lantern Family Services Inc | Community/Behavioral Health | 11680 Doolittle Dr Ste 111, Waldorf, MD 20602 | 2018-08-29 |
| 1093294910 | Metropolitan Vascular Institute LLC | Internal Medicine | 12070 Old Line Ctr Ste 100, Waldorf, MD 20602 | 2018-08-10 |
| 1174009922 | Dr. Arthur B. Sorkin, D.d.s., LLC | Dentist | 3460 Old Washington Rd., Suite 301-b, Waldorf, MD 20602 | 2018-07-16 |
| 1467945030 | Donna Marie Conley-shaw | Behavior Technician | 16 Pagnell Cir, Waldorf, MD 20602 | 2018-06-08 |
| 1811404296 | Loni Berbaum | Speech-Language Pathologist | 4817 Elmley Pl Apt 315, Waldorf, MD 20602 | 2018-01-06 |
| 1891224853 | Linda E Smith | Social Worker | 605 Pst Office Road, #301, Waldorf, MD 20602 | 2017-06-05 |
| 1104373273 | Love Ngum Che | Pharmacist | 25 Smallwood Village, Waldorf, MD 20602 | 2016-09-07 |
| 1639543341 | Matengy Toure | Pharmacist | 129 St Charles Pkwy, Waldorf, MD 20602 | 2015-11-18 |
| Find all providers in zip 20602 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
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|---|---|---|---|---|
| 1568061869 | All-stat Portable Md, LLC | Physiological Laboratory | 12501 Prosperity Dr Ste 455, Silver Spring, MD 20904-1689 | 2020-10-19 |
| 1265043897 | Blackstone Medical Services LLC | Physiological Laboratory | 4000 Blackburn Ln Ste 210, Burtonsville, MD 20866-6128 | 2020-08-17 |
| 1285131565 | American Diagnostics Services LLC | Physiological Laboratory | 2505 Lord Baltimore Dr Ste E, Windsor Mill, MD 21244-2673 | 2018-04-12 |
| 1972966075 | Sunbloom Tech Inc | Physiological Laboratory | 3266 W Springs Dr, Ellicott City, MD 21043-3270 | 2016-04-05 |
| 1316181274 | Rmi Medical Solutions LLC | Physiological Laboratory | 3531 Anderson Ln, Jarrettsville, MD 21084-1512 | 2009-04-22 |
| 1487843868 | Cardiovascular Imaging, Inc. | Physiological Laboratory | 5530 Wisconsin Ave Ste 915, Chevy Chase, MD 20815-4330 | 2007-10-22 |
| 1457456295 | Heart Savers East Coast, LLC | Physiological Laboratory | 110 W Timonium Road, Suite 1d, Timonium, MD 21093 | 2006-09-14 |
| 1386654663 | America's Favorite Sleep Center Inc. | Physiological Laboratory | 10290 Baltimore National Pike, Ellicott City, MD 21042 | 2006-08-09 |
| 1639140387 | American Diagnostics Services LLC | Physiological Laboratory | 2505 Lord Baltimore Drive, Suite E, Windsor Mill, MD 21244-2639 | 2006-01-31 |
| 1538460985 | Radiation Physics Inc | Physiological Laboratory | 10133 Bacon Dr, Beltsville, MD 20705-2102 | 2010-11-16 |
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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.