Diagnostic Lab of Southern Maryland
NPI 1366158719 · Health Service Clinic/Center · Waldorf, MD
Diagnostic Lab of Southern Maryland is a Health Service Clinic/Center organization in Waldorf, MD (NPI 1366158719).
Provider details
- NPI number
- 1366158719
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Teaira Milburn, Owner/Provider(240) 925-9449
Specialties & taxonomies
Ambulatory Health Care Facilities
- Clinical Medical Laboratory291U00000X
Laboratories
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Mailing address
Registry dates
- Enumerated
- 2023-01-30
- Last updated
- 2023-01-30
- Certified
- 2023-01-29
Frequently asked questions
- What is Diagnostic Lab of Southern Maryland's NPI number?
- Diagnostic Lab of Southern Maryland's National Provider Identifier (NPI) is 1366158719, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Diagnostic Lab of Southern Maryland?
- Diagnostic Lab of Southern Maryland is classified in the NPPES registry as Health Service Clinic/Center (Ambulatory Health Care Facilities).
- Where is Diagnostic Lab of Southern Maryland located?
- Diagnostic Lab of Southern Maryland's practice location on file with NPPES is 3985 Saint Charles Pkwy Ste 200e, Waldorf, MD 20602-2683.
- What is Diagnostic Lab of Southern Maryland's phone number?
- The practice phone number listed in the NPPES registry for Diagnostic Lab of Southern Maryland is (240) 538-8571.
- Who is the authorized official for Diagnostic Lab of Southern Maryland?
- The authorized official listed on Diagnostic Lab of Southern Maryland's NPPES record is Teaira Milburn, Owner/Provider. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Diagnostic Lab of Southern Maryland's NPI active?
- Yes — Diagnostic Lab of Southern Maryland's NPI (1366158719) is active in the NPPES registry as of the last update on 2023-01-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.