Healthcare Provider Details

I. General information

NPI: 1639140387
Provider Name (Legal Business Name): AMERICAN DIAGNOSTICS SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2006
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2505 LORD BALTIMORE DRIVE SUITE E
WINDSOR MILL MD
21244-2639
US

IV. Provider business mailing address

930 RIDGEBROOK ROAD 3RD FLOOR
SPARKS MD
21152-9390
US

V. Phone/Fax

Practice location:
  • Phone: 410-295-3565
  • Fax: 443-842-7264
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