COLLAB DIAGNOSTIC LLC NPI 1568214179

NPI Information

  • NPI: 1568214179
  • Provider Name: COLLAB DIAGNOSTIC LLC
  • Classification: Pathology - 207ZP0105X
  • Specialization: Clinical Pathology/Laboratory Medicine
  • Entity Type: Organization
  • CLIA Number: 21D2298189
  • Address: 750 MAIN ST STE 300A
    REISTERSTOWN, MD
    ZIP 21136
  • Phone: (832) 754-6495

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NPI Details

COLLAB DIAGNOSTIC LLC is a clinical pathology/laboratory medicine pathology in Reisterstown, MD. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. COLLAB DIAGNOSTIC LLC NPI is 1568214179. The provider is registered as an organization entity type.

The provider's business location address is:

750 MAIN ST STE 300A
REISTERSTOWN, MD
ZIP 21136-515
Phone: (832) 754-6495

The provider's authorized official is Bryant Bell .
The authorized official title is Lab Director and has the following contact phone number (410) 634-0943.

The CLIA number assigned to this NPI record is 21D2298189 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/5/2024 and was last updated on 8/28/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ZP0105XPathologyClinical Pathology/Laboratory MedicineYes

What is NPI?

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This page was last updated on: 11/21/2025

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