PRIME DIAGNOSTICS
NPI 1316979701
Clinical Medical Laboratory in Lanham, MD

Active since July 07, 2006
4300 FORBES BLVD, LANHAM, MD 20706(301) 459-5200(301) 459-5400 Get Directions Write a Review

NPPES record last updated: February 17, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Prime Diagnostics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRIME DIAGNOSTICS (NPI 1316979701) is a healthcare organization registered as a clinical medical laboratory in Lanham, Maryland and active in the NPI registry since July 2006. The organization lists Sujwala Puttagunta Boppudi, President, as its authorized official.

NPPES Registry Identity

NPI1316979701
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NamePRIME DIAGNOSTICS
Location Address4300 FORBES BLVDLanham, MD 20706-4314
Mailing Address4451 Brookfield Corporate Dr Ste 205Chantilly, VA 20151-1693 · (703) 378-8100 · Fax (703) 378-8101
Fax(301) 459-5400
Organization SubpartNo
Authorized OfficialSujwala Puttagunta BoppudiPresident · (301) 459-5200
Enumeration DateJuly 7, 2006
Last NPPES UpdateFebruary 17, 2009
NPI 1316979701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
License Licensed in MD · 21-D1057808
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
4300 FORBES BLVD, Lanham, MD 20706

Other Identifiers 4

Medicare PINCL8625
Medicaid039531500DC
Medicaid412222400MD
Medicaid010400635VA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prime Diagnostics's NPI number?

The NPI number for Prime Diagnostics is 1316979701. It was assigned to this organization in the NPPES registry on July 7, 2006.

Where is Prime Diagnostics located?

Prime Diagnostics is located at 4300 Forbes Blvd, Lanham, MD 20706. The listed phone number is (301) 459-5200.

What is Prime Diagnostics's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

When was this NPI record last updated?

The NPPES record for Prime Diagnostics was last updated on February 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.