UPMC WESTERN MARYLAND
NPI 1083936629
Physiological Laboratory in Cumberland, MD

NPI Status: Active since February 24, 2010

Contact Information

1050 W INDUSTRIAL BLVD
CUMBERLAND, MD
ZIP 21502
Phone: (240) 964-9355
Fax: (240) 964-9356

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  • Organization
  • Physiological Laboratory
  • Accepts Insurance
  • CLIA Number: 21D1088577
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 08-27-2026

About UPMC WESTERN MARYLAND

This page provides the complete NPI Profile along with additional information for Upmc Western Maryland, a provider established in Cumberland, Maryland operating as a Physiological Laboratory. The healthcare provider is registered in the NPI registry with number 1083936629 assigned on February 2010. The practitioner's primary taxonomy code is 293D00000X with license number 21D0666168 (MD). The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Upmc Western Maryland. The authorized official of this NPI record is Amber R Ruble (Sr. Vp Cfo)

NPI
1083936629
Provider Legal Name
UPMC WESTERN MARYLAND CORPORATION
Other Organization Name
UPMC WESTERN MARYLAND
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1050 W INDUSTRIAL BLVD CUMBERLAND, MD 21502
Location Phone
(240) 964-9355
Location Fax
(240) 964-9356
Mailing Address
PO BOX 539 CUMBERLAND, MD 21501
Mailing Phone
(240) 964-8342
Mailing Fax
(240) 964-9356
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-24-2010
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 No.
21D0666168
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261Q00000XAmbulatory Health Care Facilities

Clinic/Center

 

Insurance Plans Accepted

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

  • Bronze 7500 $25 Generic Drugs - HMO
  • Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Gold 2000 $15 Generic Drugs - HMO
  • Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Low Deductible Silver 5000 $3 Generic Drugs - HMO
  • Low Deductible Silver 5000 $3 Generic Drugs + Adult Vision & Fitness - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Low Premium Silver 6200 $3 Generic Drugs - HMO
  • Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness - HMO
  • Platinum Zero $5 Generic Drugs - HMO
  • Platinum Zero $5 Generic Drugs + Adult Vision & Fitness - HMO

*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

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
21D1088577
Facility Type
Other
Certificate Effective Date
August 28, 2024
Certificate Expiration Date
August 27, 2026
Laboratory Director
MATTHEW SIMMONS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Upmc Western Maryland 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.

Reviews for UPMC WESTERN MARYLAND

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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 1083936629, 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 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
8
Doubled → 16 → 1 + 6
Pos 4
3
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
3
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
6
Unchanged
Pos 9
2
Doubled → 4
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 8 → 16 → 7 9 → 18 → 9 6 → 12 → 3 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 6 + 3 + 1 + 8 + 3 + 1 + 2 + 6 + 4 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1083936629.

Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

Specialist
1050 W INDUSTRIAL BLVD, SUITE 18
CUMBERLAND, MD 21502
Hospice, Inpatient
1050 W INDUSTRIAL BLVD
CUMBERLAND, MD 21502
Pharmacist
1050 W INDUSTRIAL BLVD, SUITE 5
CUMBERLAND, MD 21502
Family Medicine
1050 W INDUSTRIAL BLVD, SOUTH CUMBERLAND MARKET PLC PRIMARY CARE
CUMBERLAND, MD 21502
Nurse Practitioner
1050 W INDUSTRIAL BLVD
CUMBERLAND, MD 21502
Family Medicine (Adult Medicine)
1050 W INDUSTRIAL BLVD
CUMBERLAND, MD 21502
Preventive Medicine (Occupational Medicine)
1050 W INDUSTRIAL BLVD
CUMBERLAND, MD 21502
Clinic/Center (Pain)
1050 W INDUSTRIAL BLVD
CUMBERLAND, MD 21502
Counselor (Professional)
1050 W INDUSTRIAL BLVD
CUMBERLAND, MD 21502
Clinic/Center (Urgent Care)
1050 W INDUSTRIAL BLVD
CUMBERLAND, MD 21502
Counselor (Professional)
1050 W INDUSTRIAL BLVD
CUMBERLAND, MD 21502
Licensed Practical Nurse
1050 W INDUSTRIAL BLVD
CUMBERLAND, MD 21502
Radiology (Diagnostic Radiology)
1050 W INDUSTRIAL BLVD
CUMBERLAND, MD 21502
Social Worker (Clinical)
1050 W INDUSTRIAL BLVD
CUMBERLAND, MD 21502
General Practice
1050 W INDUSTRIAL BLVD
CUMBERLAND, MD 21502

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083936629, enumerated as an "organization" on February 24, 2010.

The provider is located at 1050 W INDUSTRIAL BLVD CUMBERLAND, MD 21502 and the phone number is (240) 964-9355.

Physiological Laboratory with taxonomy code 293D00000X.

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