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PREMIER HEALTH EXPRESS AND ADVANCED DIAGNOSTICS INC NPI 1144718792


NPI Information

NPI: 1144718792
Provider Name: PREMIER HEALTH EXPRESS AND ADVANCED DIAGNOSTICS INC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 21D2153977

Address:
9710 PATUXENT WOODS DR
COLUMBIA, MD
ZIP 21046
Phone: (443) 899-9525
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PREMIER HEALTH EXPRESS AND ADVANCED DIAGNOSTICS INC is an urgent care clinic center in Columbia, MD. PREMIER HEALTH EXPRESS AND ADVANCED DIAGNOSTICS INC NPI is 1144718792. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9710 PATUXENT WOODS DR
COLUMBIA, MD
ZIP 21046-526
Phone: (443) 899-9525
Fax: (443) 200-0233

The provider's authorized official is Teresa Richardson .
The authorized official title is Chief Operations Officer and has the following contact phone number (443) 836-5376.

The CLIA number assigned to this NPI record is 21D2153977 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/30/2018 and was last updated on 3/23/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineNo
2261QU0200XClinic/CenterUrgent CareD0070766MARYLANDYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.