TRIDENTCARE
NPI 1639140387
Physiological Laboratory in Windsor Mill,


Quality Rating: 100 out of 100 score

NPI Status: Active since January 31, 2006

Contact Information

2505 Lord Baltimore Drive
Windsor Mill,
Post Code: 21244
Phone: (410) 295-3565
Fax: (443) 842-7264

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Tridentcare in Windsor Mill - Physiological Laboratory

Tridentcare is a Physiological Laboratory in Windsor Mill, . Tridentcare practices all healthcare services and medical treatments related to Physiological Laboratory. The NPI Number for Tridentcare is 1639140387. The last update date is 2024-02-15.

Tridentcare's current location address is 2505 Lord Baltimore Drive, Windsor Mill, . You can contact this provider via phone number (410) 295-3565 and fax number (443) 842-7264. The mailing address for Tridentcare is 2505 Lord Baltimore Drive, Windsor Mill, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1639140387
Provider Legal Name
AMERICAN DIAGNOSTICS SERVICES LLC
Other Organization Name
TRIDENTCARE
Other Name Type
Doing Business As(3)
Entity Type
Organization
Location Address
2505 Lord Baltimore Drive, Windsor Mill,
Location Phone
(410) 295-3565
Location Fax
(443) 842-7264
Mailing Address
930 Ridgebrook Road, Sparks, Maryland(MD)
Mailing Phone
800-786-8015
Mailing Fax
410-472-1754
Enumeration Date
2006-01-31
Last Update Date
2024-02-15
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physiological Laboratory

Taxonomy Code
293D00000X
Type
-
License No.
-
License State
-
Taxonomy Description
-

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0015026330013 MEDICAID (05) Pennsylvania (PA)
03340952 MEDICAID (05) New York (NY)
038913700 Other (non-Medicare) (01) Pennsylvania (PA) Keystone
0389137000 Other (non-Medicare) (01) Pennsylvania (PA) AMERIHEALTH
0389137000 Other (non-Medicare) (01) Pennsylvania (PA) IBC
10026119900 MEDICAID (05) Nebraska (NE)
1035442 Other (non-Medicare) (01) New Jersey (NJ) HORIZON MERCEY
10661 Other (non-Medicare) (01) Pennsylvania (PA) ELDERHEALTH
118225200 Other (non-Medicare) (01) New Jersey (NJ) DEPT. OF LABOR
119726 MEDICAID (05) Alabama (AL)
1487954913 MEDICAID (05) Iowa (IA)
1487954913 MEDICAID (05) Minnesota (MN)
1523253 MEDICAID (05) Tennessee (TN)
1639140387 MEDICAID (05) Virginia (VA)
1639140387 MEDICAID (05) Pennsylvania (PA)
1639140387 MEDICAID (05) Michigan (MI)
1639140387 MEDICAID (05) Missouri (MO)
19531 Other (non-Medicare) (01) Pennsylvania (PA) HEALTH/SENIOR PARTNERS
200409010A MEDICAID (05) Oklahoma (OK)
200726830A MEDICAID (05) Kansas (KS)
200980860A MEDICAID (05) Indiana (IN)
250540997 MEDICAID (05) Delaware (DE)
2563931 Other (non-Medicare) (01) Pennsylvania (PA) AETNA
2839585 MEDICAID (05) Ohio (OH)
3081146 MEDICAID (05) New Hampshire (NH)
3910006905 MEDICAID (05) West Virginia (WV)
417010500 MEDICAID (05) Maryland (MD)
499596 Other (non-Medicare) (01) New Jersey (NJ) AETNA
7100156790 MEDICAID (05) Kentucky (KY)
7660804 MEDICAID (05) New Jersey (NJ)
91000047800 Other (non-Medicare) (01) New Jersey (NJ) AMERICHOICE
SL0101 MEDICAID (05) South Carolina (SC)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639140387
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2669240316
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2669240316
2 + 6 + 6 + 9 + 2 + 4 + 0 + 3 + 1 + 6 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 7 7

The NPI number 1639140387 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1568465516 RAWN SALENGER
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery) 7505 OSLER DR
TOWSON, Maryland (MD)
410-337-1783
1306849351 WESTERN MD PET IMAGING LLC
Organization
Specialist 952 SETON DR
CUMBERLAND, Maryland (MD)
301-777-3522
1265435291 HOWARD ANTHONY GILMER
Individual
Physical Medicine & Rehabilitation 5933 SERENITY LN
DERWOOD, Maryland (MD)
301-294-6852
1083617021 SUSAN L BEHEN
Individual
Surgery 900 CATON AVE
BALTIMORE, Maryland (MD)
410-368-2700
1518960558 MARK JAMESON
Individual
Preventive Medicine, Public Health & General Preventive Medicine 1302 PENNSYLVANIA AVE
HAGERSTOWN, Maryland (MD)
240-313-3200