LIFETOUCH FAMILY CLINIC LLC
NPI 1023729076
Nurse Practitioner - Family in Lanham, MD
About Lifetouch Family Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIFETOUCH FAMILY CLINIC LLC (NPI 1023729076) is a healthcare organization registered as a family in Lanham, Maryland and active in the NPI registry since December 2022. The organization holds a CLIA Waiver certificate valid through March 1, 2027 and lists Esabella Tebid Mbah, Np, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 1
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 21D2277660
Lifetouch Family Clinic LLC · Lanham, MDOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LANHAM, MD 20706
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 Lifetouch Family Clinic LLC's NPI number?
The NPI number for Lifetouch Family Clinic LLC is 1023729076. It was assigned to this organization in the NPPES registry on December 12, 2022.
Where is Lifetouch Family Clinic LLC located?
Lifetouch Family Clinic LLC is located at 9801 Greenbelt Rd Ste 103, Lanham, MD 20706. The listed phone number is (202) 257-2130.
What is Lifetouch Family Clinic LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Does Lifetouch Family Clinic LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 21D2277660) is associated with this NPI, valid through March 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Lifetouch Family Clinic LLC was last updated on March 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Lifetouch Family Clinic Llc · NPI 1023729076
Family organization in Lanham, Maryland. Organization record, active in the CMS NPPES registry since December 12, 2022.
## Identity
- **NPI:** 1023729076 (Entity type: Organization)
- **Enumerated:** December 12, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Esabella Tebid Mbah, NP
## Practice location
- **Address:** 9801 GREENBELT RD STE 103, Lanham, MD 20706-6204
- **Phone:** (202) 257-2130
## Record status
- **NPPES last updated:** March 14, 2024
- **Other identifiers:** Medicaid R174293 (MD)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1023729076) · Data from the CMS NPPES public registry.