MNR INDUSTRIES LLC NPI 1073963146

NPI Information

NPI: 1073963146
Provider Name: MNR INDUSTRIES LLC

Doing Business As: EXPRESSCARE OF MOUNT AIRY

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 21D2120582

Address:
504 E RIDGEVILLE BLVD
SUITE 102
MOUNT AIRY, MD
ZIP 21771
Phone: (301) 703-5452
Get Directions

MNR INDUSTRIES LLC is an urgent care clinic center in Mount Airy, MD. MNR INDUSTRIES LLC NPI is 1073963146. The provider is registered as an organization entity type.
The provider Is Doing Business As Expresscare Of Mount Airy.

The provider's business location address is:

504 E RIDGEVILLE BLVD
SUITE 102
MOUNT AIRY, MD
ZIP 21771-942
Phone: (301) 703-5452
Fax: (301) 703-8091

The provider's authorized official is Lindsay Mcgillen .
The authorized official title is Billing & Credentialing Director and has the following contact phone number (410) 420-6970.

The CLIA number assigned to this NPI record is 21D2120582 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/20/2016 and was last updated on 11/9/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QU0200X	Clinic/Center	Urgent Care			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	500181100	MEDICAID	MARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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