MEMORIAL HOSP DIAG SVCS – NPI #1790829430
Physiological Laboratory

A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.

Health Care Provider Taxonomy Code for Physiological Laboratory

MEMORIAL HOSP DIAG SVCS is a physiological laboratory located in CUMBERLAND, MD. NPPES has assigned the NPI number 1790829430 to MEMORIAL HOSP DIAG SVCS on February 16, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MEMORIAL HOSP DIAG SVCS” is a dba name, the actual legal business name for this organization is MEMORIAL HOSPITAL AND MEDICAL CENTER OF CUMBERLAND, INC.. The primary taxonomy selected by this provider is 293D00000X from the Health Care Provider Taxonomy code set, which is classified as Physiological Laboratory.

The NPI profile was previously updated about 18 years ago on Jun 24, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MEMORIAL HOSP DIAG SVCS below.

NPI Profile for
MEMORIAL HOSPITAL AND MEDICAL CENTER OF CUMBERLAND, INC.

NPI Number
1790829430
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MEMORIAL HOSPITAL AND MEDICAL CENTER OF CUMBERLAND, INC.
Doing Business As (dba): MEMORIAL HOSP DIAG SVCS
Primary location
600 MEMORIAL AVE
CUMBERLAND, MD 21502-3765
Phone: (301) 723-1443 Fax: (301) 723-1480
Mailing address
Same as primary location
Organization Subpart
Yes - MEMORIAL HOSP DIAG SVCS is subpart of another organization.
Authorized Official
KIMBELEY REPAC
SR VP CFO
Phone: (301) 723-1443
Updated
Identifiers

Identifiers for MEMORIAL HOSP DIAG SVCS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMD000295000
MEDICAIDWV000176800
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
293D00000X
- Physiological Laboratory (Primary)		 MD

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.