TridentCare – Physiological Laboratory, NPI 1487954913
Physiological Laboratory
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for TridentCare
8030 Old Cedar Ave S Ste 124
Bloomington, MN 554251213
Phone: (952) 854-5037
Fax: (443) 842-7264
Type: Location
70 E Sunrise Hwy Ste 500
Valley Stream, NY 115811233
Phone: (718) 886-1285
Fax: (443) 842-7264
Type: Location
230 Goodman Rd E Ste 203
Southaven, MS 386718313
Phone: (662) 536-6097
Fax: (443) 842-7264
Type: Location
25 S 15th St Ste 2A
Council Bluffs, IA 515013900
Phone: (712) 352-2999
Fax: (443) 842-7264
Type: Location
13518 Discovery Dr
Omaha, NE 681373020
Phone: (402) 896-8303
Fax: (443) 842-7264
Type: Location
101 ROCK RD
HORSHAM, PA 190442310
Phone: (800) 786-8015
Fax: (410) 472-1754
Type: Location
930 RIDGEBROOK RD FL 3
SPARKS GLENCOE, MD 211529481
Phone: (800) 786-8015
Fax: (410) 472-1754
Type: Location
215 SCHILLING CIR STE 114
HUNT VALLEY, MD 210311113
Phone: (800) 786-8015
Fax: (410) 472-1754
Type: Mailing
7010 S Yale Ave
Tulsa, OK 741365713
Phone: (539) 867-4348
Fax: (443) 842-7264
Type: Location
555 5th Ave Ste B
Huntington, WV 257011907
Phone: (304) 522-4668
Fax: (443) 842-7264
Type: Location
930 RIDGEBROOK RD
SPARKS, MD 211529481
Phone: (904) 406-0310
Fax: (410) 472-1754
Type: Mailing
NPPES updates history
- Provider•UpdatedJun 10, 2026
Fields: Last update date, Certification date
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-04-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-08-31 (1015 days ago).
Enrollment records
7
Earliest due date
2023-08-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20110225000364 | O | Independent Diagnostic Testing Facility (Idtf) | MS | 2023-08-31 |
| O20110406000043 | O | Independent Diagnostic Testing Facility (Idtf) | NY | TBD |
| O20110811000105 | O | Independent Diagnostic Testing Facility (Idtf) | IA | TBD |
| O20110915000019 | O | Independent Diagnostic Testing Facility (Idtf) | NE | TBD |
| O20111121000876 | O | Independent Diagnostic Testing Facility (Idtf) | OK | 2024-09-30 |
| O20121005000531 | O | Independent Diagnostic Testing Facility (Idtf) | MN | 2024-02-29 |
| O20150415001628 | O | Independent Diagnostic Testing Facility (Idtf) | WV | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 93971 | Ultrasound study of one arm or leg veins with compression and maneuvers | 1,873 | 1,798 | $0 |
| 93970 | Ultrasound study of arm or leg veins with compression and maneuvers | 763 | 743 | $0 |
| 93925 | Ultrasound of leg arteries or artery grafts | 739 | 635 | $0 |
| 93926 | Ultrasound of one leg arteries or artery grafts | 389 | 363 | $0 |
| 93922 | Ultrasound study of arm and leg arteries | 358 | 240 | $0 |
Insurance plans in this area (ZIP 55425)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.