PRIME DIAGNOSTICS (NPI# 1316979701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316979701 |
| Entity Type | Organization |
| Organization Name | PRIME DIAGNOSTICS |
| Practice Address |
4300 Forbes Blvd Lanham MD 20706-4314 |
| Mailing Address |
4451 Brookfield Corporate Dr Ste 205 Chantilly VA 20151-1693 |
| Practice Telephone | 3014595200 |
| Practice Fax Number | 3014595400 |
| Mailing Telephone | 7033788100 |
| Mailing Fax Number | 7033788101 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2009-02-17 |
| Authorized Official Name | MS. SUJWALA PUTTAGUNTA BOPPUDI (PRESIDENT) |
| Authorized Official Telephone | 3014595200 |
| Authorized Official Credential | MS, MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 21-D1057808 | MD | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 412222400 | 05 | |
| DC | 039531500 | 05 | |
| VA | 010400635 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427242247 | Prime Diagnostics | Specialist | 3601 N May Ave, Suite C, Oklahoma City, OK 73112-6641 | 2007-09-05 |
| Street Address |
4300 FORBES BLVD |
| City | LANHAM |
| State | MD |
| Zip Code | 20706-4314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760046775 | Ayesha Tappin | Occupational Therapist | 4200 Parliament Pl. Ste 550, Lanham, MD 20706 | 2019-04-24 |
| 1790240646 | Himabindu Gangavarapu Vinodrao | Nurse Practitioner | 8118, Good Luck Road, Lanhham, MD 20706 | 2019-02-05 |
| 1538644943 | Win Team, LLC | Clinic/Center | 10001 Derekwood Lane, Suite 210, Lanham, MD 20706 | 2018-10-02 |
| 1558846394 | Brieana Moore | Behavioral Analyst | 4551 Parliament Place Suite A, Lanham, MD 20706 | 2018-09-27 |
| 1225511553 | Melvis Afanwi Chi | Home Health Aide | 9861 Goodluck Rd, T1, Lanham, MD 20706 | 2018-09-12 |
| 1346722766 | Elsie Clarke | Nurse Practitioner | 9470 Annapolis Road Suite 311, Lanham, MD 20706 | 2018-09-01 |
| 1821576141 | Amie Da Silva | Nurse Practitioner | 5724 Edge Avenue, Lanham, MD 20706 | 2018-07-30 |
| 1033697313 | Iyadunni Omolara Olukorede | Home Health Aide | 9789 Good Luck Rd Apt 9, Lanham, MD 20706 | 2018-07-30 |
| 1447741459 | A Step Ahead Preventive and Holistic Wellness Center LLC | Psychologist | 4500 Forbes Blvd # 200-w12, Lanham, MD 20706 | 2018-05-24 |
| 1902394398 | Ezekiel Kelechukwu Nwafor | Home Health Aide | 5447 85th Ave Apt 202, Lanham, MD 20706 | 2018-05-01 |
| Find all providers in zip 20706 | ||||
| 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 |
|---|---|---|---|---|
| 1891152096 | Choice Pain & Rehabilitation Center | Clinical Medical Laboratory | 9841 Greenbelt Rd, Suite 208, Lanham, MD 20706 | 2016-01-20 |
| 1063544567 | Community Pathology LLC | Clinical Medical Laboratory | 8118 Good Luck Rd, Lanham, MD 20706-3595 | 2007-03-10 |
| 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 | ||||
Please comment or provide details below to improve the information on PRIME DIAGNOSTICS.
| 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.