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NPI Code Detail

MEDICARE: PROFESSIONAL DIAGNOSTICS, LLC

MEDICARE: PROFESSIONAL DIAGNOSTICS, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0105XClinical Pathology/Laboratory Medicine PhysicianMD

General Provider Information

NPI Number : 1437159381
Entity Type Code : Organization
Provider Name (Legal Business Name) : PROFESSIONAL DIAGNOSTICS, LLC
Provider Business Mailing Address
First Line : 106 BOW ST
Second Line :
City : ELKTON
State : MD
Zip : 21921-5544
Country : US
Telephone Number : 610-459-3113
Fax Number :
Provider Business Practice Location Address
First Line : 106 BOW ST
Second Line :
City : ELKTON
State : MD
Zip : 21921-5544
Country : US
Telephone Number : 610-459-3113
Fax Number :
Authorized Official
Title or Position : HEAD DOCTOR
Name : RICHARD SZUMEL
Credential : M.D.
Telephone Number : 610-459-3113
Provider Enumeration Date : 07/21/2005
Last Update Date : 08/22/2020

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Directions to “PROFESSIONAL DIAGNOSTICS, LLC ” Practice Location

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