WESTERN MARYLAND OUTPATIENT DIAGNOSTIC CENTER - JOHNSON HEIGHTS
NPI 1013051119
Physiological Laboratory in Cumberland, MD

NPI Status: Active since February 20, 2007

Contact Information

625 KENT AVE
CUMBERLAND, MD
ZIP 21502
Phone: (240) 964-4205
Fax: (240) 964-8337

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  • Organization
  • Physiological Laboratory
  • CLIA Number: 21D2107311
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-11-2028

About WESTERN MARYLAND OUTPATIENT DIAGNOSTIC CENTER - JOHNSON HEIGHTS

This page provides the complete NPI Profile along with additional information for Western Maryland Outpatient Diagnostic Center - Johnson Heights, a provider established in Cumberland, Maryland operating as a Physiological Laboratory. The healthcare provider is registered in the NPI registry with number 1013051119 assigned on February 2007. The practitioner's primary taxonomy code is 293D00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Western Maryland Outpatient Diagnostic Center - Johnson Heights. The authorized official of this NPI record is Amber R Ruble (Sr. Vp Cfo)

NPI
1013051119
Provider Legal Name
UPMC WESTERN MARYLAND CORPORATION
Other Organization Name
WESTERN MARYLAND OUTPATIENT DIAGNOSTIC CENTER - JOHNSON HEIGHTS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
625 KENT AVE CUMBERLAND, MD 21502
Location Phone
(240) 964-4205
Location Fax
(240) 964-8337
Mailing Address
625 KENT AVE CUMBERLAND, MD 21502
Mailing Phone
(240) 964-4205
Mailing Fax
(240) 964-8337
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-20-2007
Last Update Date
02-10-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physiological Laboratory

Taxonomy Code
293D00000X
Type
Laboratories
License State
MD
Taxonomy Description
A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

AMBER R RUBLE

Authorized Official Title
SR. VP CFO
Authorized Official Phone
(240) 964-8032

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
62019001 W478MEOTHER (01)MDCAREFIRST LABORATORY
62019102 KFA4MEOTHER (01)MDCAREFIRST RADIOLOGY

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Routine electrocardiogram (ecg) using at least 12 leads with tracing

An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.

This service was performed 399 times for 376 patients

X-ray lower and sacral spine, minimum of 6 views

An X-ray of the lower and sacral spine involves capturing images of the bones in your lower back and tailbone area. It helps to identify issues like fractures, infections, or degenerative diseases. A minimum of 6 views ensures a comprehensive examination.

This service was performed 46 times for 44 patients

X-ray of abdomen, 1 view

An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.

This service was performed 28 times for 23 patients

X-ray of ankle, minimum of 3 views

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

This service was performed 31 times for 27 patients

X-ray of both hips, 3-4 views

An X-ray of both hips with 3-4 views is a safe imaging procedure. It involves capturing multiple pictures of your hip joints from different angles. This helps in diagnosing conditions like arthritis or fractures. You'll need to stay still during the process for clear images.

This service was performed 11 times for 11 patients

X-ray of both knees while standing

An X-ray of both knees while standing is a diagnostic procedure that captures images of your knee joints. You'll stand in front of an X-ray machine, and it will take pictures showing the bones and tissues in your knees. This helps doctors identify any abnormalities or injuries.

This service was performed 47 times for 46 patients

X-ray of chest, 2 views

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

This service was performed 362 times for 332 patients

X-ray of elbow, 2 views

An elbow X-ray, 2 views, is a quick, painless imaging test. It uses a small amount of radiation to produce detailed images of your elbow from two different angles. This helps in diagnosing conditions like fractures, infection, or arthritis. It's a safe and effective way to monitor your elbow health.

This service was performed 14 times for 12 patients

X-ray of foot, minimum of 3 views

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

This service was performed 47 times for 43 patients

X-ray of hand, minimum of 3 views

An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.

This service was performed 40 times for 31 patients

X-ray of hip, 2-3 views

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

This service was performed 118 times for 105 patients

X-ray of joint between lower spine and hip bone, 3 or more views

This procedure involves taking X-ray images of the joint connecting your lower spine and hip bone from three or more angles. It helps in diagnosing conditions like arthritis or fractures. You'll be positioned carefully, and the X-ray machine will capture the images.

This service was performed 13 times for 13 patients

X-ray of knee, 1-2 views

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

This service was performed 65 times for 63 patients

X-ray of knee, 3 views

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

This service was performed 103 times for 96 patients

X-ray of knee, 4 or more views

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

This service was performed 53 times for 52 patients

X-ray of lower and sacral spine, 2-3 views

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

This service was performed 48 times for 48 patients

X-ray of lower and sacral spine, minimum of 4 views

An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.

This service was performed 21 times for 20 patients

X-ray of middle spine, 3 views

An X-ray of the middle spine, with 3 views, is a diagnostic procedure where images are taken from different angles (front, side, and angled) to assess the health of your spine. It helps identify issues like fractures, tumors, or degenerative conditions.

This service was performed 15 times for 15 patients

X-ray of paranasal sinus, minimum of 3 views

An X-ray of the paranasal sinus involves taking multiple images of the spaces around your nose that produce mucus, aiding in clearing and moistening your nasal passages. This helps detect issues like infections, blockages, or abnormalities.

This service was performed 14 times for 14 patients

X-ray of shoulder, minimum of 2 views

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

This service was performed 122 times for 104 patients

X-ray of thigh bone, minimum 2 views

An X-ray of the thigh bone is a non-invasive imaging test. It involves passing a small amount of radiation through the thigh to produce images of the bone structure. At least two different angles are captured for a comprehensive view. This helps detect fractures, infections, or other abnormalities.

This service was performed 22 times for 18 patients

X-ray of upper spine, 2-3 views

An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.

This service was performed 17 times for 17 patients

X-ray of upper spine, 4-5 views

An X-ray of the upper spine with 4-5 views is a non-invasive imaging test. It uses radiation to capture detailed images of the bones and structures in your neck and upper back. This procedure helps identify issues like fractures, infections, or deformities.

This service was performed 21 times for 21 patients

X-ray of upper spine, 6 or more views

An X-ray of the upper spine with 6 or more views involves capturing multiple images of your neck and upper back. This non-invasive procedure helps doctors visualize the bones and joints, aiding in diagnosing conditions such as arthritis, fractures, or spinal deformities.

This service was performed 20 times for 19 patients

X-ray of wrist, minimum of 3 views

An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.

This service was performed 41 times for 34 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
21D2107311
Facility Type
Physician Office
Certificate Effective Date
January 12, 2026
Certificate Expiration Date
January 11, 2028
Laboratory Director
MATTHEW E. SIMMONS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Western Maryland Outpatient Diagnostic Center - Johnson Heights to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1013051119, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 41. The final step is to find the difference between that total and the next multiple of ten (50 - 41 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
1
Doubled → 2
Pos 4
3
Unchanged
Pos 5
0
Doubled → 0
Pos 6
5
Unchanged
Pos 7
1
Doubled → 2
Pos 8
1
Unchanged
Pos 9
1
Doubled → 2
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 0 → 0 1 → 2 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 2 + 3 + 0 + 5 + 2 + 1 + 2 + 24 = 41

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 41 is 50. The difference is the calculated check digit.

50 - 41 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1013051119.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Ophthalmology
625 KENT AVE, SUITE 201
CUMBERLAND, MD 21502
Specialist
625 KENT AVE, SUITE 301
CUMBERLAND, MD 21502
Internal Medicine
625 KENT AVE, SUITE #204
CUMBERLAND, MD 21502
Specialist
625 KENT AVE, SUITE 102
CUMBERLAND, MD 21502
Internal Medicine
625 KENT AVE, SUITE 204
CUMBERLAND, MD 21502
Otolaryngology (Otolaryngic Allergy)
625 KENT AVE, SUITE 206
CUMBERLAND, MD 21502
Specialist
625 KENT AVE, SUITE 302
CUMBERLAND, MD 21502
Ophthalmology
625 KENT AVE, SUITE 201
CUMBERLAND, MD 21502
Family Medicine
625 KENT AVE, SUITE 305
CUMBERLAND, MD 21502
Psychiatry & Neurology (Neurology)
625 KENT AVE, SUITE 302
CUMBERLAND, MD 21502
Obstetrics & Gynecology
625 KENT AVE, SUITE 301
CUMBERLAND, MD 21502
Orthopaedic Surgery
625 KENT AVE, SUITE 102
CUMBERLAND, MD 21502
Orthopaedic Surgery
625 KENT AVE, SUITE102
CUMBERLAND, MD 21502
Physician Assistant (Surgical)
625 KENT AVE, SUITE 102
CUMBERLAND, MD 21502
Neurological Surgery
625 KENT AVE, STE. 306
CUMBERLAND, MD 21502
Psychiatry & Neurology (Neurology)
625 KENT AVE, SUITE 302
CUMBERLAND, MD 21502
Specialist
625 KENT AVE, STE 306
CUMBERLAND, MD 21502
Pediatrics (Pediatric Gastroenterology)
625 KENT AVE
CUMBERLAND, MD 21502
Radiology (Diagnostic Radiology)
625 KENT AVE
CUMBERLAND, MD 21502
Ophthalmology (Retina Specialist)
625 KENT AVE
CUMBERLAND, MD 21502

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013051119, enumerated as an "organization" on February 20, 2007.

The provider is located at 625 KENT AVE CUMBERLAND, MD 21502 and the phone number is (240) 964-4205.

Physiological Laboratory with taxonomy code 293D00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.