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Diagnostic Lab of Southern Maryland

Health Service Clinic/Center in Waldorf, MD · enumerated 2023 · authorized official Teaira Milburn, Owner/Provider.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1366158719

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Registry record

Entity type Organization (Type 2)
Legal business name Diagnostic Lab of Southern Maryland
Practice address 3985 Saint Charles Pkwy Ste 200e, Waldorf, MD, 20602
Fax (240) 607-7229
Enumeration date Jan 30, 2023
Last updated in NPPES Jan 30, 2023

Taxonomy & classification

261QH0100X Health Service Clinic/Center Ambulatory Health Care Facilities Primary
291U00000X Clinical Medical Laboratory Laboratories Secondary

Authorized official

Name Teaira Milburn
Title Owner/Provider

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-01-30. Verify at npiregistry.cms.hhs.gov.
Where is Diagnostic Lab of Southern Maryland located?
The practice location on file with NPPES is in Waldorf, MD.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-01-30.