MEDICARE: U S LAB & RADIOLOGY LLC

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

General Provider Information

NPI Number	:	1609173632
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	U S LAB & RADIOLOGY LLC

Provider Business Mailing Address
First Line	:	215 SCHILLING CIR STE 114
Second Line	:
City	:	HUNT VALLEY
State	:	MD
Zip	:	21031-1113
Country	:	US
Telephone Number	:	800-786-8015
Fax Number	:

Provider Business Practice Location Address
First Line	:	250 S FEDERAL HWY
Second Line	:
City	:	DANIA BEACH
State	:	FL
Zip	:	33004-4800
Country	:	US
Telephone Number	:	800-786-8015
Fax Number	:	954-962-9830

Authorized Official
Title or Position	:	CFO
Name	:	MR. BRIAN C CUOMO
Credential	:
Telephone Number	:	800-786-8015

Provider Enumeration Date	:	02/28/2011
Last Update Date	:	03/12/2026

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