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MACE MEDICAL LLC
NPI 1114374360
Internal Medicine in Essex, MD

Active since May 18, 2016CLIA 21D2285291 · Waiver
1124 MACE AVE, ESSEX, MD 21221(410) 391-6996(410) 687-6877 Get Directions Write a Review

NPPES record last updated: May 18, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mace Medical Llc NPPES

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

MACE MEDICAL LLC (NPI 1114374360) is a healthcare organization registered as an internal medicine in Essex, Maryland and active in the NPI registry since May 2016. The organization holds a CLIA Waiver certificate valid through July 10, 2027 and lists John M Lee, Physician, as its authorized official.

NPPES Registry Identity

NPI1114374360
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMACE MEDICAL LLC
Location Address1124 MACE AVEEssex, MD 21221-3315
Mailing Address1124 Mace AveEssex, MD 21221-3315 · (410) 391-6996 · Fax (410) 687-6877
Phone(410) 391-6996
Fax(410) 687-6877
Organization SubpartNo
Authorized OfficialJohn M LeePhysician · (410) 391-6996
Enumeration DateMay 18, 2016
✔ NPI 1114374360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1124 MACE AVE, Essex, MD 21221
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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 21D2285291

Mace Medical · Dundalk, MD
Active · expires Jul 10, 2027
CLIA Number21D2285291
Laboratory TypePhysician Office
Certificate Effective DateJuly 11, 2025
Certificate Expiration DateJuly 10, 2027
Laboratory DirectorSajid Arain
Laboratory Phone(410) 391-6996
Laboratory LocationMace Medical2800 Sollers Point Road, Dundalk, MD 21222
CLIA data matches this NPI record on: Name Phone
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.

CHUKWUMA EBO,M.D.,PA
Internal Medicine
1124 MACE AVE
BALTIMORE, MD 21221
Baltimore County (410) 391-6996
JOHN J LOH ,D. O.,P A
Internal Medicine
1124 MACE AVE
BALTIMORE, MD 21221
Baltimore County (410) 391-6996
DR. KAMAL ALEXANDER HAMOD M.D.
Obstetrics & Gynecology
1124 MACE AVE
ESSEX, MD 21221
Baltimore County (410) 847-3500
SAVITHA SHIVANANDA
Internal Medicine
1124 MACE AVE
BALTIMORE, MD 21221
Baltimore County (410) 391-6996
OLOLADE IKUOMOLA NP-C
Nurse Practitioner (Primary Care)
1124 MACE AVE
BALTIMORE, MD 21221
Baltimore County (410) 391-6996
LAUREN LOKEY MSN, FNP-C
Nurse Practitioner (Family)
1124 MACE AVE
BALTIMORE, MD 21221
Baltimore County (104) 391-6996
GANESH TAMANG NP
Nurse Practitioner
1124 MACE AVE
ESSEX, MD 21221
Baltimore County (410) 391-6996
SAVITHA SHIVANANDA ,M.D.,PA
Internal Medicine
1124 MACE AVE
BALTIMORE, MD 21221
Baltimore County (410) 391-6996

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 Mace Medical LLC's NPI number?

The NPI number for Mace Medical LLC is 1114374360. It was assigned to this organization in the NPPES registry on May 18, 2016.

Where is Mace Medical LLC located?

Mace Medical LLC is located at 1124 Mace Ave, Essex, MD 21221. The listed phone number is (410) 391-6996.

What is Mace Medical LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Mace Medical LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2285291) is associated with this NPI, valid through July 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mace Medical LLC was last updated on May 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.