MATCLINIC PHYSICIANS PRACTICE GROUP LLC
NPI 1063904985
Clinical Medical Laboratory in Dundalk, MD

Active since June 06, 2018
40 S DUNDALK AVE STE 400, DUNDALK, MD 21222(410) 220-0780(410) 862-0150 Get Directions Write a Review

NPPES record last updated: May 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 11, 2022, Aug 7, 2020, May 15, 2019 and 1 more (4 updates tracked since 2018).

About Matclinic Physicians Practice Group Llc NPPES

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

MATCLINIC PHYSICIANS PRACTICE GROUP LLC (NPI 1063904985) is a healthcare organization registered as a clinical medical laboratory in Dundalk, Maryland and active in the NPI registry since June 2018. The organization lists Dan Reck, Manager, as its authorized official.

NPPES Registry Identity

NPI1063904985
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameMATCLINIC PHYSICIANS PRACTICE GROUP LLC
Location Address40 S DUNDALK AVE STE 400Dundalk, MD 21222-4273
Mailing AddressPo Box 9068Baltimore, MD 21222-0768 · (410) 220-0720 · Fax (410) 862-0150
Fax(410) 862-0150
Organization SubpartNo
Authorized OfficialDan ReckManager · (410) 220-0780
Enumeration DateJune 6, 2018
Last NPPES UpdateMay 11, 20224 updates tracked since enumeration
NPPES CertifiedMay 11, 2022
NPI 1063904985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
40 S DUNDALK AVE STE 400, Dundalk, MD 21222

Other Identifiers 1

Medicaid135675501MD

Other Providers at the Same Location NPPES 11

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

Nurse Practitioner (Family)
40 S DUNDALK AVE STE 400
DUNDALK, MD 21222
Internal Medicine (Addiction Medicine)
40 S DUNDALK AVE STE 400
DUNDALK, MD 21222
Nurse Practitioner (Acute Care)
40 S DUNDALK AVE STE 400
DUNDALK, MD 21222
Psychiatry & Neurology (Psychiatry)
40 S DUNDALK AVE STE 400
DUNDALK, MD 21222
Clinic/Center (Mental Health (Including Community Mental Health Center))
40 S DUNDALK AVE STE 400
DUNDALK, MD 21222
Counselor (Professional)
40 S DUNDALK AVE STE 400
DUNDALK, MD 21222
Nurse Practitioner (Family)
40 S DUNDALK AVE STE 400
BALTIMORE, MD 21222
Nurse Practitioner (Adult Health)
40 S DUNDALK AVE STE 400
BALTIMORE, MD 21222

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 Matclinic Physicians Practice Group LLC's NPI number?

The NPI number for Matclinic Physicians Practice Group LLC is 1063904985. It was assigned to this organization in the NPPES registry on June 6, 2018.

Where is Matclinic Physicians Practice Group LLC located?

Matclinic Physicians Practice Group LLC is located at 40 S Dundalk Ave Ste 400, Dundalk, MD 21222. The listed phone number is (410) 220-0780.

What is Matclinic Physicians Practice Group LLC's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

When was this NPI record last updated?

The NPPES record for Matclinic Physicians Practice Group LLC was last updated on May 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.