Braddock Medical Group in Cumberland - Clinical Medical Laboratory
Braddock Medical Group - NPI 1104901313
Braddock Medical Group is a Clinical Medical Laboratory in Cumberland, Maryland. Braddock Medical Group practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for Braddock Medical Group is 1104901313. The last update date is 2008-09-16.
Braddock Medical Group's current location address is 912 Seton Dr, Cumberland, Maryland. You can contact this provider via phone number 3017223111 and fax number 3017225135. The mailing address for Braddock Medical Group is 912 Seton Dr, Cumberland, Maryland. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Braddock Medical Group |
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Address | 912 Seton Dr, Cumberland, Maryland |
Phone Number | 3017223111 |
Fax Number | 3017225135 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | MEDICAL DI |
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Authorized Official Name | Chappell E Thomas |
Credentials | MD |
Telephone Number | 3017223111 |
NPI Number Detail
NPI Number | 1104901313 |
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Provider Enumeration Date | 2006-10-26 |
Last Updated Date | 2008-09-16 |
Provider Mailing Address Detail
Address | 912 Seton Dr |
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City | Cumberland |
State | Maryland (MD) |
Post Code | 215021818 |
Phone Number | 3017223111 |
Fax Number | 3017225135 |
Provider's Primary Taxonomy Detail
Speciality | Clinical Medical Laboratory |
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Taxonomy | 291U00000X |
Licence No | 830420 |
Definition: (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 purp |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
11509001 | WV | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Braddock Medical Group by the Centers for Medicare & Medicaid Services (CMS)?
The Braddock Medical Group has been assigned the NPI (National Provider Identifier) 1104901313. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Braddock Medical Group's physical address?
The Braddock Medical Group is physically located at 912 Seton Dr, in the city of Cumberland, MD, with the postal code 215021818.
What is the area of specialization for Braddock Medical Group, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Braddock Medical Group is Clinical Medical Laboratory, and the corresponding taxonomy code that categorizes this area of expertise is 291U00000X.
When was the Braddock Medical Group's 1104901313 issued?
The Braddock Medical Group's 1104901313 was issued on 2006-10-26.
As of what date were the Braddock Medical Group's details last updated?
The information pertaining to the Braddock Medical Group, including its address, specialty, and other details, was most recently updated on 2008-09-16.
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