Organization
AMERICAN DIAGNOSTICS SERVICES LLC
Active
Other names
TridentCare
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN C CUOMO (AUTHORIZED OFFICIAL/CFO)
(800) 786-8015
Entity
Organization
Contact information
Practice address
930 RIDGEBROOK RD FL 3, SPARKS GLENCOE, MD 21152-9481
(800) 786-8015
(410) 472-1754
Mailing address
215 SCHILLING CIR STE 114, HUNT VALLEY, MD 21031-1113
(800) 786-8015
(410) 472-1754
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03340952
—
NY
05
—
10026119900
—
NE
05
—
1487954913
—
IA
05
—
1487954913
—
MN
05
—
2400109010A
—
OK
05
—
3106321
—
MS
05
—
3910006905
—
WV
01
—
P00972855
RR MEDICARE
NE
01
—
P01101435
RR MEDICARE
MN
01
—
P01101442
RR MEDICARE
IA
01
—
P01101462
RR MEDICARE
OK
01
—
P01101464
RR MEDICARE
MS
01
—
P01107140
RR MEDICARE
NY
Enumeration date
11/01/2010
Last updated
03/11/2026
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