NPI 1639140387 · live from the CMS NPI Registry
American Diagnostics Services LLC
Physiological Laboratory in Windsor Mill, MD. National Provider Identifier 1639140387, active.
NPI record
| NPI | 1639140387 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physiological Laboratory 293D00000X |
| Practice location | 2505 Lord Baltimore Drive, Suite E, Windsor Mill, MD 21244 |
| Practice phone | 410-295-3565 |
| Mailing address | 215 Schilling Cir Ste 114, Hunt Valley, MD 21031 |
| Enumerated | January 31, 2006 |
| Last updated | March 11, 2026 |
| Authorized official | Brian Cuomo, Authorized Official/Cfo |
| Other names | Tridentcare |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology | 2085R0202X | — |
| Physiological Laboratory primary | 293D00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.