ADR LLC NPI 1982607933

NPI Information

NPI: 1982607933
Provider Name: ADR LLC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
952 SETON DR
CUMBERLAND, MD
ZIP 21502
Phone: (301) 777-3522
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ADR LLC is a specialist in Cumberland, MD. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ADR LLC NPI is 1982607933. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

952 SETON DR
CUMBERLAND, MD
ZIP 21502-950
Phone: (301) 777-3522
Fax: (301) 777-1902

The provider's authorized official is Jong K Kim .
The authorized official title is President and has the following contact phone number (301) 724-1646.

The enumeration date for this NPI number is 5/23/2005 and was last updated on 8/16/2010.

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
1	174400000X	Specialist				Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	DA5555	OTHER		RAILROAD MEDICARE
2	DA5555	MEDICARE PIN
3	762M	MEDICARE PIN	MARYLAND
4	216A	OTHER	MARYLAND	MD BLUE SHIELD
5	0201927000	MEDICAID	WEST VIRGINIA
6	403741300	MEDICAID	MARYLAND
7	762M	MEDICARE ID-TYPE UNSPECIFIED	MARYLAND
8	001586989	OTHER	WEST VIRGINIA	MT ST BS
9	J249	OTHER	MARYLAND	MD BLUE SHIELD

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: 5/5/2024

NPI Synchronization or Removal

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