21D1042638 CLIA NUMBER - BELTWAY INTERNAL MEDICINE ASSOC LLC

Laboratory Demographics

  • CLIA Code: 21D1042638
  • Facility Name: BELTWAY INTERNAL MEDICINE ASSOC LLC
  • Facility Address: 9114 PHILADELPHIA ROAD STE 300
    BALTIMORE, MD
    ZIP 21237
  • Facility Phone: 443 632-4474
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KEVIN G. SCHENDEL
  • NPI Number: 1619165909
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D1042638
LAB Type Physician Office
Facility Name BELTWAY INTERNAL MEDICINE ASSOC LLC
Street 9114 PHILADELPHIA ROAD STE 300
City BALTIMORE
State MD
ZIP 21237
Phone 443 632-4474
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/5/2025
Certificate Expiration Date 7/4/2027
Facility Type Physician Office
Lab Director KEVIN G. SCHENDEL

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This page was last updated on: 9/29/2025