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EVEREST MEDICAL CARE LLC
NPI 1104878339
Clinic/Center in Havertown, PA

Active since May 16, 2006CLIA 39D2120622 · Waiver
2010 W CHESTER PIKE, SUITE 118, HAVERTOWN, PA 19083(215) 200-5891(610) 649-3658 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Everest Medical Care Llc NPPES

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

EVEREST MEDICAL CARE LLC (NPI 1104878339) is a healthcare organization registered as a clinic/center in Havertown, Pennsylvania and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through October 19, 2026 and lists Xiaobin Li, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1104878339
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameEVEREST MEDICAL CARE LLC
Location Address2010 W CHESTER PIKE, SUITE 118Havertown, PA 19083-2700
Mailing Address2010 W Chester Pike, Suite 118Havertown, PA 19083-2700 · (215) 200-5891 · Fax (610) 649-3658
Phone(215) 200-5891
Fax(610) 649-3658
Organization SubpartNo
Authorized OfficialXiaobin LiMedical Director · (215) 200-5891
Enumeration DateMay 16, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1104878339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in PA · MD058825L
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

2010 W CHESTER PIKE, Havertown, PA 19083
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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 39D2120622

Everest Medical Care LLC · Havertown, PA
Active · expires Oct 19, 2026
CLIA Number39D2120622
Laboratory TypePhysician Office
Certificate Effective DateOctober 20, 2024
Certificate Expiration DateOctober 19, 2026
Laboratory DirectorDr. Xiaobin Li
Laboratory Phone(610) 853-2502
Laboratory LocationEverest Medical Care LLC2010 West Chester Pk #448, Havertown, PA 19083
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

MARIA ANNE SPANO L.P.C.
Counselor (Professional)
2010 W CHESTER PIKE
HAVERTOWN, PA 19083
Delaware County (610) 892-3800
ANTHONY SCALPATO D.P.M.
Podiatrist
2010 W CHESTER PIKE, 344
HAVERTOWN, PA 19083
Delaware County (610) 789-4443
PENN THERAPY ASSOCIATES, INC.
Physical Therapist
2010 W CHESTER PIKE, SUITE 450
HAVERTOWN, PA 19083
Delaware County (610) 853-0508
ALEXANDER MATTHEW PUGLIESE CRNA
Nurse Anesthetist, Certified Registered
2010 W CHESTER PIKE, SUITE 330
HAVERTOWN, PA 19083
Delaware County (610) 789-8070
PAUL EZELL M.D.
Ophthalmology
2010 W CHESTER PIKE
HAVERTOWN, PA 19083
Delaware County (610) 446-2260
DR. XIAOBIN LI M.D.
Internal Medicine
2010 W CHESTER PIKE, SUITE 407
HAVERTOWN, PA 19083
Delaware County (610) 853-2502
HAVERTOWN RADIOSURGERY CENTER PC
Radiology (Radiation Oncology)
2010 W CHESTER PIKE, STE 115
HAVERTOWN, PA 19083
Delaware County (610) 446-6850
JOSEPH BOJKO CRNA
Nurse Anesthetist, Certified Registered
2010 W CHESTER PIKE, STE 330
HAVERTOWN, PA 19083
Delaware County (610) 789-8070

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 Everest Medical Care LLC's NPI number?

The NPI number for Everest Medical Care LLC is 1104878339. It was assigned to this organization in the NPPES registry on May 16, 2006.

Where is Everest Medical Care LLC located?

Everest Medical Care LLC is located at 2010 W Chester Pike Suite 118, Havertown, PA 19083. The listed phone number is (215) 200-5891.

What is Everest Medical Care LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Everest Medical Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2120622) is associated with this NPI, valid through October 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Everest Medical Care LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Everest Medical Care LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Everest Medical Care LLC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.