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IDEAL OPTION PLLC NPI 1972012599


NPI Information

NPI: 1972012599
Provider Name: IDEAL OPTION, PLLC
Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization
Address:
19 FONTANA LN STE 108
ROSEDALE, MD
ZIP 21237
Phone: (509) 222-1275
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IDEAL OPTION, PLLC is a clinical medical laboratory in Rosedale, MD. The provider is (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. IDEAL OPTION, PLLC NPI is 1972012599. The provider is registered as an organization entity type.

The provider's business location address is:

19 FONTANA LN STE 108
ROSEDALE, MD
ZIP 21237-097
Phone: (509) 222-1275
Fax: (509) 491-3031

The provider's authorized official is Brian Jefferson Dawson .
The authorized official title is Cmo and has the following contact phone number (509) 222-1275.

The enumeration date for this NPI number is 9/26/2017 and was last updated on 8/31/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1291U00000XClinical Medical Laboratory5000076869MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1577253MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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