St. Jude Laboratories LLC
NPI 1083172043 · Clinical Medical Laboratory · Columbia, MD
Enrolled with Medicare as Part B Supplier - Independent Clinical Laboratory · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1083172043
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Bose Kalampanayil, Owner(410) 884-4120
Specialties & taxonomies
Laboratories
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
7 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
6,189 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Detection Test By Nucleic Acid for Organism, Amplified Probe Technique87798 | 4,376 | $34 |
| Detection Test By Multiplex Amplified Probe Technique for Severe Acute Respiratory Syndrome Coronavirus 2 (sars-Cov-2) (covid-19), Influenza Virus Types a and B, and Respiratory Syncytial Virus87637 | 367 | $140 |
| Detection Test By Nucleic Acid for Staphylococcus Aureus, Methicillin Resistant (mrsa Bacteria), Amplified Probe Technique87641 | 366 | $34 |
| Detection of Infectious Agent Antibody, Quantitative86317 | 352 | $15 |
| Detection Test By Immunofluorescent Technique for Legionella Pneumophila (water Borne Bacteria)87278 | 352 | $15 |
| Amplifed Dna Or Rna Probe Detection of Severe Acute Respiratory Syndrome Coronavirus 2 (covid-19) Antigen |
Practice location
Mailing address
Additional practice locations (1)
- 9017 Mendenhall Ct Ste DColumbia, MD 21045-4732Phone: (410) 862-8162Fax: (410) 630-7474
Registry dates
- Enumerated
- 2019-03-08
- Last updated
- 2025-08-29
- Certified
- 2025-08-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.