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LAUREL PEDIATRIC AND TEEN MEDICAL CENTER
NPI 1093724163
Clinic/Center - Primary Care in Bel Air, MD

Active since August 06, 2006CLIA 21D1015475 · Waiver
2014 S TOLLGATE RD, SUITE 200, BEL AIR, MD 21015(410) 569-9533(410) 569-1254 Get Directions Write a Review

NPPES record last updated: December 29, 2014. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Laurel Pediatric And Teen Medical Center NPPES

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

LAUREL PEDIATRIC AND TEEN MEDICAL CENTER (NPI 1093724163) is a healthcare organization registered as a primary care in Bel Air, Maryland and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through October 16, 2026 and lists Generosa Cruz Lazor, Director, as its authorized official.

NPPES Registry Identity

NPI1093724163
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePLUMTREE PEDIATRICS, LLC
Location Address2014 S TOLLGATE RD, SUITE 200Bel Air, MD 21015-5903
Mailing Address2014 S Tollgate Rd, Suite 200Bel Air, MD 21015-5903 · (410) 569-9533 · Fax (410) 569-1254
Phone(410) 569-9533
Fax(410) 569-1254
Organization SubpartNo
Authorized OfficialGenerosa Cruz LazorDirector · (410) 569-9533
Enumeration DateAugust 6, 2006
Last NPPES UpdateDecember 29, 2014
✔ NPI 1093724163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in MD · D34413
2014 S TOLLGATE RD, Bel Air, MD 21015
Open in Google Maps ↗

Other Names 1

Doing Business AsLaurel Pediatric And Teen Medical Center

Other Identifiers 3

Medicare UPINE16785MD
Medicaid293901100MD
Medicaid408959600MD

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 21D1015475

Laurel Pediatric Teens & Med Ctr · Bel Air, MD
Active · expires Oct 16, 2026
CLIA Number21D1015475
Laboratory TypePhysician Office
Certificate Effective DateOctober 17, 2024
Certificate Expiration DateOctober 16, 2026
Laboratory DirectorGenerosa C. Lazor MD
Laboratory Phone(410) 569-9533
Laboratory LocationLaurel Pediatric Teens & Med Ctr2014 S Tollgate Rd Suite 200-201, Bel Air, MD 21015
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

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

KRISTY GARCIA
Nurse Practitioner (Psychiatric/Mental Health)
2014 S TOLLGATE RD
BEL AIR, MD 21015
Harford County (410) 670-3076
JUSTIN MICHAEL SWANSON DPT
Physical Therapist
2014 S TOLLGATE RD, STE 106
BEL AIR, MD 21015
Harford County (410) 515-1260
MARYLAND ORTHOTICS AND PROSTHETICS CO., INC
Prosthetic/Orthotic Supplier
2014 S TOLLGATE RD, SUITE 105
BEL AIR, MD 21015
Harford County (410) 569-9202
MRS. JENNIFER MICHELLE SEIBEL PA-C
Physician Assistant
2014 S TOLLGATE RD, SUITE 200
BEL AIR, MD 21015
Harford County (410) 569-9533
DR. VICKI ROBIN MCGOWAN II D.O.
Pediatrics
2014 S TOLLGATE RD, SUITE 200
BEL AIR, MD 21015
Harford County (410) 569-9533
DR. GARY MERLE EPSTEIN D.D.S.
Dentist (Oral and Maxillofacial Surgery)
2014 S TOLLGATE RD, SUITE 100
BEL AIR, MD 21015
Harford County (410) 515-0430
DR. GENEROSA CALDERON LAZOR MD
Pediatrics
2014 S TOLLGATE RD, SUITE 200
BEL AIR, MD 21015
Harford County (410) 569-9533
RALPH H WEINER D.D.S.
Dentist
2014 S TOLLGATE RD, SUITE 103
BEL AIR, MD 21015
Harford County (410) 515-2020

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 Plumtree Pediatrics, LLC's NPI number?

The NPI number for Plumtree Pediatrics, LLC is 1093724163. It was assigned to this organization in the NPPES registry on August 6, 2006. The provider is doing business as Laurel Pediatric And Teen Medical Center.

Where is Plumtree Pediatrics, LLC located?

Plumtree Pediatrics, LLC is located at 2014 S Tollgate Rd Suite 200, Bel Air, MD 21015. The listed phone number is (410) 569-9533.

What is Plumtree Pediatrics, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Plumtree Pediatrics, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D1015475) is associated with this NPI, valid through October 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Plumtree Pediatrics, LLC was last updated on December 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.