Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prime Diagnostics

Organization Clinical Medical Laboratory · NPI 1316979701

Prime Diagnostics is a Clinical Medical Laboratory in Lanham, Maryland. Licensed in Maryland. Registered with an NPI since 2006.

Licensed in
MD
In the registry since
2006

Practice location Address checks out

4300 Forbes Blvd
Lanham, MD 20706-4314
Phone: (301) 459-5200
Fax: (301) 459-5400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X · Licence 21-D1057808 (MD)

Record details

NPI number1316979701
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sujwala Boppudi — President · (301) 459-5200
NPI enumeratedJuly 7, 2006
Last updated in NPPESFebruary 17, 2009
Mailing address4451 Brookfield Corporate Dr Ste 205, Chantilly, VA 20151-1693

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