Organization
CD LABORATORIES, INC.
Active
Organization
CD LABORATORIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA ROOK (VP, GLOBAL MARKET ACCESS)
(303) 518-7069
Entity
Organization
Contact information
Practice address
810 GLENEAGLES CT STE 100, BALTIMORE, MD 21286-2231
(410) 296-1400
(410) 296-0081
Mailing address
810 GLENEAGLES CT STE 100, BALTIMORE, MD 21286-2231
(410) 296-1400
(410) 296-0081
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
204
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00534551
—
NC
05
—
008058044
—
CT
05
—
0118869
—
OH
05
—
021732500
—
DC
05
—
102738
—
AZ
05
—
201288030A
—
IN
01
—
W212
MEDICARE PTAN
MD
Enumeration date
07/09/2005
Last updated
08/07/2023
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