MEDICAL PRACTICES OF ANTIETAM LLC
NPI 1033990866
Clinic/Center - Ambulatory Surgical in Hagerstown, MD
About Medical Practices Of Antietam Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEDICAL PRACTICES OF ANTIETAM LLC (NPI 1033990866), doing business as Meritus Urology, is a healthcare organization registered as an ambulatory surgical in Hagerstown, Maryland and active in the NPI registry since October 2023. The organization holds 2 active CLIA laboratory certificates and lists Joshua Repac, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
CLIA Laboratory Certificates CMS CLIA 2
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 21D2306106
Medical Practices Of Antietam- Mobile Health · Hagerstown, MDCertificate of Accreditation 21D2281566
Medical Practices Of Antietam LLC Dba · Hagerstown, MDOther Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HAGERSTOWN, MD 21742
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 Medical Practices Of Antietam LLC's NPI number?
The NPI number for Medical Practices Of Antietam LLC is 1033990866. It was assigned to this organization in the NPPES registry on October 9, 2023. The provider is doing business as Meritus Urology.
Where is Medical Practices Of Antietam LLC located?
Medical Practices Of Antietam LLC is located at 11110 Medical Campus Rd Ste 228, Hagerstown, MD 21742. The listed phone number is (301) 733-0022.
What is Medical Practices Of Antietam LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
Does Medical Practices Of Antietam LLC hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Medical Practices Of Antietam LLC was last updated on October 9, 2023. 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.
# Medical Practices Of Antietam Llc · NPI 1033990866
Ambulatory Surgical organization in Hagerstown, Maryland. Organization record, active in the CMS NPPES registry since October 9, 2023.
## Identity
- **NPI:** 1033990866 (Entity type: Organization)
- **Enumerated:** October 9, 2023
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Also known as:** Meritus Urology (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Joshua Repac, CFO
## Practice location
- **Address:** 11110 MEDICAL CAMPUS RD STE 228, Hagerstown, MD 21742-6727
- **Phone:** (301) 733-0022
## Record status
- **NPPES last updated:** October 9, 2023
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1033990866) · Data from the CMS NPPES public registry.