Healthcare Provider Details

I. General information

NPI: 1487954913
Provider Name (Legal Business Name): AMERICAN DIAGNOSTICS SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2010
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 SCHILLING CIR STE 114
HUNT VALLEY MD
21031-1113
US

IV. Provider business mailing address

215 SCHILLING CIR STE 114
HUNT VALLEY MD
21031-1113
US

V. Phone/Fax

Practice location:
  • Phone: 800-786-8015
  • Fax: 410-472-1754
Mailing address:
  • Phone: 800-786-8015
  • Fax: 410-472-1754

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code293D00000X
TaxonomyPhysiological Laboratory
License Number
License Number State

VIII. Authorized Official

Name: BRIAN C CUOMO
Title or Position: AUTHORIZED OFFICIAL/CFO
Credential:
Phone: 800-786-8015