Sam'S Medical Laboratory LLC
NPI 1083957773 · Clinical Medical Laboratory · Montgomery Village, MD
Enrolled with Medicare as Part B Supplier - Independent Clinical Laboratory · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sam'S Medical Laboratory LLC is a Clinical Medical Laboratory organization in Montgomery Village, MD (NPI 1083957773).
Provider details
- NPI number
- 1083957773
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Kan Lee, Medical Diector(301) 828-6854
- License
- 1790 (MD)
Specialties & taxonomies
Laboratories
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
13 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
885 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) |
|---|---|---|
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 208 | $9 |
| Complete Blood Cell Count (red Cells, White Blood Cell, Platelets), Automated Test and Automated Differential White Blood Cell Count85025 | 161 | $8 |
| Blood Test, Comprehensive Group of Blood Chemicals80053 | 122 | $10 |
| Blood Test, Thyroid Stimulating Hormone (tsh)84443 | 79 | $16 |
| Hemoglobin A1c Level83036 | 59 | $10 |
| Blood Test, Lipids (cholesterol and Triglycerides)80061 | 54 | $13 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-04-01
- Last updated
- 2013-04-01
Frequently asked questions
- What is Sam'S Medical Laboratory LLC's NPI number?
- Sam'S Medical Laboratory LLC's National Provider Identifier (NPI) is 1083957773, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sam'S Medical Laboratory LLC?
- Sam'S Medical Laboratory LLC is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Sam'S Medical Laboratory LLC located?
- Sam'S Medical Laboratory LLC's practice location on file with NPPES is 19614 Club House Rd, Montgomery Village, MD 20886-3035.
- What is Sam'S Medical Laboratory LLC's phone number?
- The practice phone number listed in the NPPES registry for Sam'S Medical Laboratory LLC is (301) 963-0519.
- Does Sam'S Medical Laboratory LLC accept Medicare?
- Sam'S Medical Laboratory LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Sam'S Medical Laboratory LLC?
- The authorized official listed on Sam'S Medical Laboratory LLC's NPPES record is Kan Lee, Medical Diector. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sam'S Medical Laboratory LLC's NPI active?
- Yes — Sam'S Medical Laboratory LLC's NPI (1083957773) is active in the NPPES registry as of the last update on 2013-04-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.