OrganizationActive
Braddock Medical Group
NPI 1104901313 · Clinical Medical Laboratory · Cumberland, MD
Provider details
- NPI number
- 1104901313
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Thomas Chappell, Medical Director(301) 722-3111
- License
- 830420 (MD)
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
912 Seton Dr
Cumberland, MD 21502-1818
Phone: (301) 722-3111
Fax: (301) 722-5135
Street-level locationGet directions
Mailing address
912 Seton Dr
Cumberland, MD 21502-1818
Other names (DBA / former)
- Other name
- Braddock Medical Group Laboratory
Registry dates
- Enumerated
- 2006-10-26
- Last updated
- 2008-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.