| Bls Diagnostics Llc | |
|
11623 Philadelphia Rd White Marsh MD 21162-1310 | |
| (443) 483-6300 | |
| Not Available |
| Full Name | Bls Diagnostics Llc |
|---|---|
| Speciality | Physical Therapist |
| Location | 11623 Philadelphia Rd, White Marsh, Maryland |
| Authorized Official Name and Position | Brian L Seymore (OWNER) |
| Authorized Official Contact | 8665268088 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bls Diagnostics Llc 1728 Shakespeare Dr Bel Air MD 21015-1558 Ph: (866) 526-8088 | Bls Diagnostics Llc 11623 Philadelphia Rd White Marsh MD 21162-1310 Ph: (443) 483-6300 |
| NPI Number | 1114627361 |
|---|---|
| Provider Enumeration Date | 03/07/2023 |
| Last Update Date | 03/07/2023 |
| Certification Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114627361 | NPI | - | NPPES |
| 193200000X | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
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