Healthcare Provider Details

I. General information

NPI: 1306759246
Provider Name (Legal Business Name): DIAMOND MEDICAL LABORATORIES, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 OLDE GREENWICH DR STE 150
FREDERICKSBURG VA
22408-4009
US

IV. Provider business mailing address

66 PAINTERS MILL RD STE 200
OWINGS MILLS MD
21117-3657
US

V. Phone/Fax

Practice location:
  • Phone: 410-834-8600
  • Fax: 410-834-8600
Mailing address:
  • Phone: 410-834-8600
  • Fax: 410-834-8601

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247ZC0005X
TaxonomyClinical Laboratory Director (Non-physician)
License Number
License Number State

VIII. Authorized Official

Name: ANDREW DIAMOND
Title or Position: CEO
Credential:
Phone: 410-834-8600