Anne Arundel Medical Group Largo Primary Care

LBN: Luminis Health Medical Group, Llc
Anne Arundel Medical Group Largo Primary Care is an health care organization with primary practice located at 1450 Mercantile Ln Suite 111, Largo MD 20774-5376. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Luminis Health Medical Group, Llc can be contacted via phone (301) 925-7610, or through Clarke, Stephen L via phone (443) 481-6558.

Contact Information

Primary practice address
1450 Mercantile Ln Suite 111 Largo MD 20774-5376
Phone: (301) 925-7610
Fax: (301) 925-7619
Website:
Map and Directions
Authorized official contact:
Name: Clarke, Stephen L
Phone: (443) 481-6558

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1316372931
LBN Legal business name Luminis Health Medical Group, Llc
DBA Doing business as Anne Arundel Medical Group Largo Primary Care
Authorized official Clarke, Stephen L
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2013
Last updated May 24th, 2021 - 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 1316372931 NPPES
Maryland MEDICAID 407175153

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