Provider Demographics
NPI:1427322114
Name:APEX DIAGNOSTIC SERVICES INC
Entity type:Organization
Organization Name:APEX DIAGNOSTIC SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:RIZ
Authorized Official - Middle Name:
Authorized Official - Last Name:TARIQ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-457-3338
Mailing Address - Street 1:5111 PEGASUS CT
Mailing Address - Street 2:STE A
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21704-8318
Mailing Address - Country:US
Mailing Address - Phone:240-379-1560
Mailing Address - Fax:240-379-1561
Practice Address - Street 1:5111 PEGASUS CT
Practice Address - Street 2:STE A
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21704-8318
Practice Address - Country:US
Practice Address - Phone:240-379-1560
Practice Address - Fax:240-379-1561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-28
Last Update Date:2012-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1868291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory