Healthcare Provider Details
I. General information
NPI: 1043844897
Provider Name (Legal Business Name): APEX DIAGNOSTICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/02/2020
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2700 LIGHTHOUSE PT E STE 405
BALTIMORE MD
21224-4777
US
IV. Provider business mailing address
1728 SHAKESPEARE DR
BEL AIR MD
21015-1558
US
V. Phone/Fax
- Phone: 443-452-7033
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084N0400X |
| Taxonomy | Neurology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BRIAN
SEYMORE
Title or Position: PT, DC/OWNER
Credential:
Phone: 443-452-7033