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MEDCITY FAMILY CLINIC LLC
NPI 1093482705
Family Medicine in Baltimore, MD

Active since August 30, 2021CLIA 21D2255107 · Waiver
2509 WASHINGTON BLVD, BALTIMORE, MD 21230(443) 565-2408 Get Directions Write a Review

NPPES record last updated: December 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Medcity Family Clinic Llc NPPES

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

MEDCITY FAMILY CLINIC LLC (NPI 1093482705) is a healthcare organization registered as a family medicine in Baltimore, Maryland and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through March 9, 2028 and lists Faith Olubukola Adebule, Ceo, as its authorized official.

NPPES Registry Identity

NPI1093482705
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMEDCITY FAMILY CLINIC LLC
Location Address2509 WASHINGTON BLVDBaltimore, MD 21230-1406
Mailing Address2509 Washington BlvdBaltimore, MD 21230-1406 · (443) 835-4228 · Fax (833) 895-2041
Phone(443) 565-2408
Organization SubpartNo
Authorized OfficialFaith Olubukola AdebuleCeo · (443) 623-3592
Enumeration DateAugust 30, 2021
Last NPPES UpdateDecember 31, 2025
NPPES CertifiedDecember 31, 2025
✔ NPI 1093482705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2509 WASHINGTON BLVD, Baltimore, MD 21230
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Other Names 1

Doing Business AsMedcity Family Clinic Llc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 21D2255107

Medcity Family Clinic LLC · Baltimore, MD
Active · expires Mar 9, 2028
CLIA Number21D2255107
Laboratory TypePractitioner Other
Certificate Effective DateMarch 10, 2026
Certificate Expiration DateMarch 9, 2028
Laboratory DirectorAminatu E. Williams
Laboratory Phone(443) 565-2408
Laboratory LocationMedcity Family Clinic LLC2509 Washington Blvd Floor 1, Baltimore, MD 21230
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

AMINATU E WILLIAMS
Nurse Practitioner (Family)
2509 WASHINGTON BLVD
BALTIMORE, MD 21230
Baltimore City (443) 835-4228
RECOVERY CITY HEALTHCARE SERVICES LLC
Nurse Practitioner (Psychiatric/Mental Health)
2509 WASHINGTON BLVD
BALTIMORE, MD 21230
Baltimore City (240) 713-9873

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 Medcity Family Clinic LLC's NPI number?

The NPI number for Medcity Family Clinic LLC is 1093482705. It was assigned to this organization in the NPPES registry on August 30, 2021.

Where is Medcity Family Clinic LLC located?

Medcity Family Clinic LLC is located at 2509 Washington Blvd, Baltimore, MD 21230. The listed phone number is (443) 565-2408.

What is Medcity Family Clinic LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Medcity Family Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2255107) is associated with this NPI, valid through March 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Medcity Family Clinic LLC was last updated on December 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.