OrganizationActive
Patriot Medical Laboratories LLC
NPI 1710300579 · Clinical Medical Laboratory · Frederick, MD
Patriot Medical Laboratories LLC is a Clinical Medical Laboratory organization in Frederick, MD (NPI 1710300579).
Provider details
- NPI number
- 1710300579
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Sombabu Mullapudi, Owner/Managing Member(240) 422-4164
- License
- 21D2074025 (MD)
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
5325 Spectrum Dr
Frederick, MD 21703-7339
Phone: (240) 396-4343
Fax: (240) 396-4345
Street-level locationGet directions
Mailing address
5325 Spectrum Dr
Frederick, MD 21703-7339
Other names (DBA / former)
- Doing business as
- Cian Diagnostics
Registry dates
- Enumerated
- 2014-01-30
- Last updated
- 2024-05-27
- Certified
- 2024-05-27
Frequently asked questions
- What is Patriot Medical Laboratories LLC's NPI number?
- Patriot Medical Laboratories LLC's National Provider Identifier (NPI) is 1710300579, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Patriot Medical Laboratories LLC?
- Patriot Medical Laboratories LLC is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Patriot Medical Laboratories LLC located?
- Patriot Medical Laboratories LLC's practice location on file with NPPES is 5325 Spectrum Dr, Frederick, MD 21703-7339.
- What is Patriot Medical Laboratories LLC's phone number?
- The practice phone number listed in the NPPES registry for Patriot Medical Laboratories LLC is (240) 396-4343.
- Who is the authorized official for Patriot Medical Laboratories LLC?
- The authorized official listed on Patriot Medical Laboratories LLC's NPPES record is Sombabu Mullapudi, Owner/Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Patriot Medical Laboratories LLC's NPI active?
- Yes — Patriot Medical Laboratories LLC's NPI (1710300579) is active in the NPPES registry as of the last update on 2024-05-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.