Provider Demographics
NPI:1427588029
Name:DIAMOND MEDICAL LABORATORIES, LLC.
Entity Type:Organization
Organization Name:DIAMOND MEDICAL LABORATORIES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:KLUTTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-834-8600
Mailing Address - Street 1:66 PAINTERS MILL RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-3641
Mailing Address - Country:US
Mailing Address - Phone:410-834-8600
Mailing Address - Fax:410-834-8601
Practice Address - Street 1:66 PAINTERS MILL ROAD
Practice Address - Street 2:SUITE 200
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117
Practice Address - Country:US
Practice Address - Phone:410-834-8600
Practice Address - Fax:410-834-8601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-15
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD2664291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory