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
2505 LORD BALTIMORE DRIVE, SUITE E, WINDSOR MILL, MD 21244-2639
(410) 295-3565
(443) 842-7264
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
2085R0202X
Diagnostic Radiology Physician
—
—
293D00000X
Physiological Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015026330013
—
PA
05
—
03340952
—
NY
01
—
038913700
KEYSTONE
PA
01
—
0389137000
AMERIHEALTH
PA
05
—
10026119900
—
NE
01
—
1035442
HORIZON MERCEY
NJ
01
—
10661
ELDERHEALTH
PA
01
—
118225200
DEPT. OF LABOR
NJ
05
—
119726
—
AL
05
—
1487954913
—
IA
05
—
1487954913
—
MN
05
—
1523253
—
TN
05
—
1639140387
—
MI
05
—
1639140387
—
MO
05
—
1639140387
—
PA
05
—
1639140387
—
VA
01
—
19531
HEALTH/SENIOR PARTNERS
PA
05
—
200409010A
—
OK
05
—
200726830A
—
KS
05
—
200980860A
—
IN
05
—
250540997
—
DE
01
—
2563931
AETNA
PA
05
—
2839585
—
OH
05
—
3081146
—
NH
05
—
3910006905
—
WV
05
—
417010500
—
MD
01
—
499596
AETNA
NJ
05
—
7100156790
—
KY
05
—
7660804
—
NJ
01
—
91000047800
AMERICHOICE
NJ
05
—
SL0101
—
SC
Enumeration date
01/31/2006
Last updated
03/11/2026
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