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WELLSPRING CLINIC LLC
NPI 1154788818
Clinic/Center - Medical Specialty in Bel Air, MD

Active since January 26, 2016CLIA 21D2134266 · Accreditation
2012 S TOLLGATE RD STE 207, BEL AIR, MD 21015(443) 371-9750 Get Directions Write a Review

NPPES record last updated: July 12, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 12, 2019, Jan 26, 2016 (2 updates tracked since 2016).

About Wellspring Clinic Llc NPPES

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

WELLSPRING CLINIC LLC (NPI 1154788818) is a healthcare organization registered as a medical specialty in Bel Air, Maryland and active in the NPI registry since January 2016. The organization holds an CLIA Accreditation certificate valid through August 25, 2026 and lists Nkiruka Arene, Owner, as its authorized official.

NPPES Registry Identity

NPI1154788818
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameWELLSPRING CLINIC LLC
Location Address2012 S TOLLGATE RD STE 207Bel Air, MD 21015-5902
Mailing Address2012 S Tollgate Rd, Suite 206Bel Air, MD 21015-5900 · (443) 977-9180
Phone(443) 371-9750
Organization SubpartNo
Authorized OfficialNkiruka AreneOwner · (443) 977-9180
Enumeration DateJanuary 26, 2016
Last NPPES UpdateJuly 12, 20192 updates tracked since enumeration
✔ NPI 1154788818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in MD · D63924
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
2012 S TOLLGATE RD STE 207, Bel Air, MD 21015
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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 Accreditation 21D2134266

Wellspring Clinic · Bel Air, MD
Active · expires Aug 25, 2026
CLIA Number21D2134266
Laboratory TypePhysician Office
Certificate Effective DateAugust 26, 2024
Certificate Expiration DateAugust 25, 2026
Laboratory DirectorYibin Wang
Laboratory Phone(443) 371-9750
Laboratory LocationWellspring Clinic2012 S Tollgate Road Suite 207, Bel Air, MD 21015
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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.

KEVIN W. BEDWELL PA-C
Physical Medicine & Rehabilitation (Pain Medicine)
2012 S TOLLGATE RD STE 207
BEL AIR, MD 21015
Harford County (443) 371-9750
WELLSPRING CLINIC LLC
Physical Medicine & Rehabilitation
2012 S TOLLGATE RD STE 207
BEL AIR, MD 21015
Harford County (443) 371-9750

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 Wellspring Clinic LLC's NPI number?

The NPI number for Wellspring Clinic LLC is 1154788818. It was assigned to this organization in the NPPES registry on January 26, 2016.

Where is Wellspring Clinic LLC located?

Wellspring Clinic LLC is located at 2012 S Tollgate Rd Ste 207, Bel Air, MD 21015. The listed phone number is (443) 371-9750.

What is Wellspring Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Does Wellspring Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 21D2134266) is associated with this NPI, valid through August 25, 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 Wellspring Clinic LLC was last updated on July 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.