EVEREST MEDICAL CARE LLC NPI 1104878339

NPI Information

  • NPI: 1104878339
  • Provider Name: EVEREST MEDICAL CARE LLC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • CLIA Number: 39D2120622
  • Address: 2010 W CHESTER PIKE
    SUITE 118
    HAVERTOWN, PA
    ZIP 19083
  • Phone: (215) 200-5891

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NPI Details

EVEREST MEDICAL CARE LLC is a clinic center in Havertown, PA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). EVEREST MEDICAL CARE LLC NPI is 1104878339. The provider is registered as an organization entity type.

The provider's business location address is:

2010 W CHESTER PIKE
SUITE 118
HAVERTOWN, PA
ZIP 19083-700
Phone: (215) 200-5891
Fax: (610) 649-3658

The provider's authorized official is Xiaobin Li .
The authorized official title is Medical Director and has the following contact phone number (215) 200-5891.

The CLIA number assigned to this NPI record is 39D2120622 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/16/2006 and was last updated on 8/22/2020.

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
1261Q00000XClinic/CenterMD058825LPENNSYLVANIAYes

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: 3/30/2025

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