Elite Multi Specialty Clinic, Llc

LBN: Elite Multi Specialty Clinic, Llc
Elite Multi Specialty Clinic, Llc is an health care organization with primary practice located at 12501 Prosperity Dr Ste 330 , Silver Spring MD 20904-1655. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Elite Multi Specialty Clinic, Llc can be contacted via phone (301) 604-4033, or through Noummy, Adaora Perpetua via phone (301) 604-4033.

Contact Information

Primary practice address
12501 Prosperity Dr Ste 330 Silver Spring MD 20904-1655
Phone: (301) 604-4033
Fax: (240) 645-4013
Website:
Map and Directions
Authorized official contact:
Name: Noummy, Adaora Perpetua
Phone: (301) 604-4033

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1053758235
LBN Legal business name Elite Multi Specialty Clinic, Llc
DBA Doing business as
Authorized official Noummy, Adaora Perpetua
Entity Organization
Organization subpart 1 No
Enumeration date May 29th, 2013
Last updated Aug 11th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053758235 NPPES
Maryland MEDICAID 945614700

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