OrganizationActive
Advanced Spine and Pain Center, LLC
NPI 1437895869 · Clinical Medical Laboratory · Frederick, MD
Provider details
- NPI number
- 1437895869
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Mary Martelloni, Mgr(410) 698-2665
Specialties & taxonomies
Laboratories
Practice location
92 Thomas Johnson Dr Ste 205
Frederick, MD 21702-4403
Phone: (240) 815-5449
Approximate (ZIP-level) locationGet directions
Mailing address
217 E Churchville Rd
Bel Air, MD 21014-3825
Registry dates
- Enumerated
- 2022-05-09
- Last updated
- 2022-05-11
- Certified
- 2022-05-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.