MEDICARE: AMERICAN DIAGNOSTICS SERVICES 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	2085R0202X	Diagnostic Radiology Physician
2	293D00000X	Physiological Laboratory

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	19531	OTHER	PA	HEALTH/SENIOR PARTNERS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	91000047800	OTHER	NJ	AMERICHOICE
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
13	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
14	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
15	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
16	2563931	OTHER	PA	AETNA
17	1035442	OTHER	NJ	HORIZON MERCEY
18	118225200	OTHER	NJ	DEPT. OF LABOR
19	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
23	0389137000	OTHER	PA	IBC
24	0389137000	OTHER	PA	AMERIHEALTH
25	10661	OTHER	PA	ELDERHEALTH
26	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
27	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
28	038913700	OTHER	PA	KEYSTONE
29	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
30	499596	OTHER	NJ	AETNA
31	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
32	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
33	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639140387
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN DIAGNOSTICS SERVICES LLC

Provider Business Mailing Address
First Line	:	930 RIDGEBROOK ROAD
Second Line	:	3RD FLOOR
City	:	SPARKS
State	:	MD
Zip	:	21152-9390
Country	:	US
Telephone Number	:	800-786-8015
Fax Number	:	410-472-1754

Provider Business Practice Location Address
First Line	:	2505 LORD BALTIMORE DRIVE
Second Line	:	SUITE E
City	:	WINDSOR MILL
State	:	MD
Zip	:	21244-2639
Country	:	US
Telephone Number	:	410-295-3565
Fax Number	:	443-842-7264

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL/CFO
Name	:	BRIAN C CUOMO
Credential	:
Telephone Number	:	800-786-8015

Provider Enumeration Date	:	01/31/2006
Last Update Date	:	02/04/2026

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MEDICARE: AMERICAN DIAGNOSTICS SERVICES LLC

Scope of Practice

Other Identifiers

General Provider Information

Similar Medicare Providers

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