Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LIFESTAR RESPONSE OF MARYLAND, INC
NPI 1699774018
Ambulance - Land Transport in Annapolis Junction, MD

Q: What is Lifestar Response Of Maryland, Inc's NPI number?

The NPI number for Lifestar Response Of Maryland, Inc is 1699774018. It was assigned to this organization in the NPPES registry on July 18, 2005.

Q: What is Lifestar Response Of Maryland, Inc's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Active since July 18, 2005CLIA 21D0974512 · Waiver

10840 GUILFORD RD STE 414, ANNAPOLIS JUNCTION, MD 20701(410) 247-1178(410) 536-5476 Get Directions Write a Review

NPPES record last updated: October 20, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 17, 2020, Mar 2, 2018 (2 updates tracked since 2018).

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About Lifestar Response Of Maryland, Inc NPPES

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

LIFESTAR RESPONSE OF MARYLAND, INC (NPI 1699774018) is a healthcare organization registered as a land transport in Annapolis Junction, Maryland and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through June 7, 2028, maintains 6 additional practice locations, and lists Justin Misner, Coo, as its authorized official.

NPPES Registry Identity

NPI1699774018

Entity TypeOrganization

Primary Taxonomy3416L0300X

Legal Business NameLIFESTAR RESPONSE OF MARYLAND, INC

Location Address10840 GUILFORD RD STE 414Annapolis Junction, MD 20701-1110

Mailing Address3620 Commerce Dr Ste 715Halethorpe, MD 21227-1641 · (410) 290-8000 · Fax (410) 381-0426

Phone(410) 247-1178

Fax(410) 536-5476

Organization SubpartYesParent: Keystone Quality Transport Company

Authorized OfficialJustin MisnerCoo · (610) 960-9171

Enumeration DateJuly 18, 2005

Last NPPES UpdateOctober 20, 20262 updates tracked since enumeration

NPPES CertifiedOctober 20, 2026

✔ NPI 1699774018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services

Taxonomy Code3416L0300X

License✔ Licensed in MD · 74

10840 GUILFORD RD STE 414, Annapolis Junction, MD 20701

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Secondary Practice Locations 6

Location 13113 Ocean GtwyCambridge, MD 21613-3470 · Phone (410) 290-8000

Location 249 Brenda LnCamden, DE 19934-2282 · Phone (410) 290-8000

Location 3505 W Market StGeorgetown, DE 19947-2344 · Phone (410) 290-8000 · Fax (410) 381-0426

Location 43620 Commerce Dr Ste 715Baltimore, MD 21227-1641 · Phone (410) 290-8000 · Fax (410) 381-0426

Location 51918 Northwood DrSalisbury, MD 21801-7824 · Phone (410) 290-8000

Location 68200 Professional Pl Ste 112Landover, MD 20785-2293 · Phone (410) 290-8000 · Fax (410) 381-0426

Other Identifiers 3

Medicaid250654570DE

Medicaid055000100MD

Medicaid018652100DC

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D0974512

Lifestar Response Of Maryland · Annapolis Junction, MD

Active · expires Jun 7, 2028

CLIA Number21D0974512

Laboratory TypeAmbulance

Certificate Effective DateJune 8, 2026

Certificate Expiration DateJune 7, 2028

Laboratory DirectorDr. Terry Jodrie

Laboratory Phone(410) 247-1178

Laboratory LocationLifestar Response Of Maryland10840 Guilford Rd, Annapolis Junction, MD 20701

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425

Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.

239,755 services13,874 patients

Ambulance service, basic life support, non-emergency transport, (bls) A0428

Basic Life Support (BLS) non-emergency ambulance service provides safe transportation for patients who don't need immediate medical attention. It includes monitoring vital signs, ensuring comfort, and administering basic care during transport.

17,875 services12,781 patients

Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) A0426

Ambulance Service, Advanced Life Support, Non-Emergency Transport, Level 1 (ALS 1) is a medical transportation service for patients who don't have an immediate life-threatening condition but require advanced medical monitoring or interventions during the journey.

1,083 services996 patients

Specialty care transport (sct) A0434

Specialty Care Transport (SCT) is a level of medical transport service for critically ill or injured patients. It involves healthcare professionals with advanced skills and equipment to provide continuous care during transport, ensuring patient's safety and well-being.

400 services393 patients

Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427

Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.

96 services94 patients

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 Lifestar Response Of Maryland, Inc's NPI number?

The NPI number for Lifestar Response Of Maryland, Inc is 1699774018. It was assigned to this organization in the NPPES registry on July 18, 2005.

Where is Lifestar Response Of Maryland, Inc located?

Lifestar Response Of Maryland, Inc is located at 10840 Guilford Rd Ste 414, Annapolis Junction, MD 20701. The listed phone number is (410) 247-1178.

What is Lifestar Response Of Maryland, Inc's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Does Lifestar Response Of Maryland, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D0974512) is associated with this NPI, valid through June 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lifestar Response Of Maryland, Inc was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.