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

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: February 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

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 3 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 UpdateFebruary 9, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 9, 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
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1505 W Market StGeorgetown, DE 19947-2344 · Phone (410) 290-8000 · Fax (410) 381-0426
Location 23620 Commerce Dr Ste 715Baltimore, MD 21227-1641 · Phone (410) 290-8000 · Fax (410) 381-0426
Location 38200 Professional Pl Ste 112Landover, MD 20785-2293 · Phone (410) 290-8000 · Fax (410) 381-0426

Other Identifiers 3

Medicaid250654570DE
Medicaid018652100DC
Medicaid055000100MD

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 February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.