INNOVATIVE URGENT CARE LLC NPI 1821773508

NPI Information

  • NPI: 1821773508
  • Provider Name: INNOVATIVE URGENT CARE, LLC
  • Classification: Clinic/Center - 261QU0200X
  • Specialization: Urgent Care
  • Entity Type: Organization
  • CLIA Number: 21D2304090
  • Address: 9809 MAIN ST STE 103
    DAMASCUS, MD
    ZIP 20872
  • Phone: (443) 512-8337

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NPI Details

INNOVATIVE URGENT CARE, LLC is an urgent care clinic center in Damascus, MD. INNOVATIVE URGENT CARE, LLC NPI is 1821773508. The provider is registered as an organization entity type.

The provider's business location address is:

9809 MAIN ST STE 103
DAMASCUS, MD
ZIP 20872-090
Phone: (443) 512-8337

The provider's authorized official is Esteban Schableman .
The authorized official title is President and has the following contact phone number (267) 258-6362.

The CLIA number assigned to this NPI record is 21D2304090 - other - urgent care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/20/2023 and was last updated on 8/23/2024.

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
1261QU0200XClinic/CenterUrgent CareYes

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: 11/21/2025

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