MEDICARE: ADVANCED PICC SPECIALISTS, INC

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
1	291U00000X	Clinical Medical Laboratory
2	363LA2100X	Acute Care Nurse Practitioner	R185270	MD
3	251E00000X	Home Health Agency
4	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1134354566
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED PICC SPECIALISTS, INC

Provider Business Mailing Address
First Line	:	8028 RITCHIE HWY STE 131
Second Line	:
City	:	PASADENA
State	:	MD
Zip	:	21122-1030
Country	:	US
Telephone Number	:	443-610-8962
Fax Number	:

Provider Business Practice Location Address
First Line	:	8028 RITCHIE HWY STE 131
Second Line	:
City	:	PASADENA
State	:	MD
Zip	:	21122-1030
Country	:	US
Telephone Number	:	443-453-6115
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF OPERATIONS
Name	:	MICHAEL P CHRISTODOULOS
Credential	:
Telephone Number	:	443-610-8962

Provider Enumeration Date	:	05/29/2009
Last Update Date	:	01/23/2026

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