21D1045284 CLIA NUMBER - OAK CREST VILLAGE EMS

Laboratory Demographics

CLIA Number: 21D1045284

Facility Name: OAK CREST VILLAGE EMS

Facility Address:
8800 WALTHER BLVD
PARKVILLE, MD
ZIP 21234
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Facility Phone Number: 410 402-2182

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1649284423

Taxonomy: 341600000X - Ambulance
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).

CLIA Record

Field Name Field Value
CLIA Number 21D1045284
LAB Type Ambulance
Facility Name OAK CREST VILLAGE EMS
Street 8800 WALTHER BLVD
City PARKVILLE
State MD
ZIP 21234
Phone 410 402-2182
CertificateType 4
CertificateEffectiveDate 6/29/2022
CertificateExpirationDate 6/28/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024