MEDICARE: SUBURBAN MEDICAL LABORATORY, 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	36D0339673	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	36D0339673	OTHER	OH	CLIA
2	00	OTHER	OH	WORKERS COMP
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417231226
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUBURBAN MEDICAL LABORATORY, INC

Provider Business Mailing Address
First Line	:	6800 VIRGINIA MANOR RD
Second Line	:
City	:	BELTSVILLE
State	:	MD
Zip	:	20705-4200
Country	:	US
Telephone Number	:	216-409-7394
Fax Number	:

Provider Business Practice Location Address
First Line	:	6800 VIRGINIA MANOR RD
Second Line	:
City	:	BELTSVILLE
State	:	MD
Zip	:	20705-4200
Country	:	US
Telephone Number	:	216-409-7394
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR, BILLING
Name	:	MR. DONALD HOSKINS
Credential	:
Telephone Number	:	51237527300

Provider Enumeration Date	:	09/29/2011
Last Update Date	:	02/21/2012

Similar Medicare Providers

1104574672 — SANDRA RAMIREZ
Practice Location Address:

4200 BRIGGS CHANEY RD
BELTSVILLE, MD
20705-1041

Practice Phone: 301-312-2398
Practice Fax:

1053256925 — TIFFANY GARCIA
Practice Location Address:

12240 INDIAN CREEK CT
BELTSVILLE, MD
20705-1242

Practice Phone: 201-979-1336
Practice Fax:

1245175124 — DARNISHA MCLAURIN
Practice Location Address:

12240 INDIAN CREEK CT
BELTSVILLE, MD
20705-1242

Practice Phone: 201-979-1336
Practice Fax: 443-305-6161

1134064033 — SHANNON DAVIS
Practice Location Address:

12240 INDIAN CREEK CT
BELTSVILLE, MD
20705-1242

Practice Phone: 201-979-1336
Practice Fax:

1336084193 — ARUKAH HEALTH & RECOVERY CENTER LLC
Practice Location Address:

5000 SUNNYSIDE AVE STE 101
BELTSVILLE, MD
20705-2327

Practice Phone: 614-747-3460
Practice Fax:

1083559850 — ELF MEDICAL SOLUTIONS
Practice Location Address:

4041 POWDER MILL RD STE 301
BELTSVILLE, MD
20705-4036

Practice Phone: 301-304-4464
Practice Fax:

Directions to “SUBURBAN MEDICAL LABORATORY, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.