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MOLL PREMIER PRIMARY CARE LLC
NPI 1003745621
Internal Medicine in Bryn Mawr, PA

Active since May 18, 2026CLIA 39D2351401 · Waiver
864 COUNTY LINE RD, BRYN MAWR, PA 19010(267) 907-2084 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 27, 2026, May 18, 2026 (2 updates tracked since 2026).

About Moll Premier Primary Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOLL PREMIER PRIMARY CARE LLC (NPI 1003745621) is a healthcare organization registered as an internal medicine in Bryn Mawr, Pennsylvania and active in the NPI registry since May 2026. The organization holds a CLIA Waiver certificate valid through September 24, 2028 and lists Christopher R Moll, Owner, as its authorized official.

NPPES Registry Identity

NPI1003745621
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMOLL PREMIER PRIMARY CARE LLC
Location Address864 COUNTY LINE RDBryn Mawr, PA 19010-2516
Mailing Address864 County Line RdBryn Mawr, PA 19010-2516 · (484) 857-7630 · Fax (484) 412-7630
Phone(267) 907-2084
Organization SubpartNo
Authorized OfficialChristopher R MollOwner · (484) 857-7630
Enumeration DateMay 18, 2026
Last NPPES UpdateJuly 27, 20262 updates tracked since enumeration
NPPES CertifiedJuly 27, 2026
✔ NPI 1003745621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
864 COUNTY LINE RD, Bryn Mawr, PA 19010
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2351401

Moll Premier Primary Care · Bryn Mawr, PA
Active · expires Sep 24, 2028
CLIA Number39D2351401
Laboratory TypePhysician Office
Certificate Effective DateSeptember 25, 2026
Certificate Expiration DateSeptember 24, 2028
Laboratory DirectorDr. Christopher R. Moll
Laboratory Phone(484) 857-7630
Laboratory LocationMoll Premier Primary Care864 County Line Rd, Bryn Mawr, PA 19010
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MEGHAN B TIERNEY P.T.
Physical Therapist
864 COUNTY LINE RD
BRYN MAWR, PA 19010
Delaware County (610) 581-0111
KARLA SWATSKI MD
Pediatrics
864 COUNTY LINE RD
BRYN MAWR, PA 19010
Delaware County (610) 525-0560
DR. WENONAH LYNNE HUSTON NELSON MD
Pediatrics
864 COUNTY LINE RD
BRYN MAWR, PA 19010
Delaware County (610) 525-0560
MODERN FAMILY MEDICINE MAIN LINE LLC
Family Medicine
864 COUNTY LINE RD
BRYN MAWR, PA 19010
Delaware County (484) 222-6222
ELIZABETH SABATINO DPT
Physical Therapist
864 COUNTY LINE RD
BRYN MAWR, PA 19010
Delaware County (610) 581-0111
MRS. SUZANNE CATHERINE DOUGHERTY D.P.T.
Physical Therapist
864 COUNTY LINE RD
BRYN MAWR, PA 19010
Delaware County (610) 581-0111
MR. ROBERT R MYERS JR. LCSW, CCDP DIPLOMATE
Counselor (Addiction (Substance Use Disorder))
864 COUNTY LINE RD
BRYN MAWR, PA 19010
Delaware County (215) 301-8613
DR. THEODORE WILLIAM CLAIR MD
Pediatrics
864 COUNTY LINE RD, GLENBROOK MEDICAL BLDG
BRYN MAWR, PA 19010
Delaware County (610) 525-0560

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Moll Premier Primary Care LLC's NPI number?

The NPI number for Moll Premier Primary Care LLC is 1003745621. It was assigned to this organization in the NPPES registry on May 18, 2026.

Where is Moll Premier Primary Care LLC located?

Moll Premier Primary Care LLC is located at 864 County Line Rd, Bryn Mawr, PA 19010. The listed phone number is (267) 907-2084.

What is Moll Premier Primary Care LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Moll Premier Primary Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2351401) is associated with this NPI, valid through September 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Moll Premier Primary Care LLC was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.