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HARFORD PRIMARY CARE LLC
NPI 1164282943
Family Medicine in Havre De Grace, MD

Active since March 20, 2024CLIA 21D2099491 · Waiver
622 S UNION AVE, HAVRE DE GRACE, MD 21078(410) 939-3770 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Harford Primary Care Llc NPPES

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

HARFORD PRIMARY CARE LLC (NPI 1164282943) is a healthcare organization registered as a family medicine in Havre De Grace, Maryland and active in the NPI registry since March 2024. The organization holds a CLIA Waiver certificate valid through July 27, 2027 and lists Marcus Thomas Augustus Priolo, Ao, as its authorized official.

NPPES Registry Identity

NPI1164282943
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHARFORD PRIMARY CARE LLC
Location Address622 S UNION AVEHavre De Grace, MD 21078-3422
Mailing Address900 Elkridge Landing Rd Fl 2Linthicum, MD 21090-2924
Phone(410) 939-3770
Organization SubpartNo
Authorized OfficialMarcus Thomas Augustus PrioloAo · (443) 643-3344
Enumeration DateMarch 20, 2024
NPPES CertifiedMarch 20, 2024
✔ NPI 1164282943 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.
622 S UNION AVE, Havre De Grace, MD 21078
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 21D2099491

Harford Primary Care LLC · Havre De Grace, MD
Active · expires Jul 27, 2027
CLIA Number21D2099491
Laboratory TypePhysician Office
Certificate Effective DateJuly 28, 2025
Certificate Expiration DateJuly 27, 2027
Laboratory DirectorDr. Suresh Dhanjani
Laboratory Phone(410) 939-3770
Laboratory LocationHarford Primary Care LLC622 S Union Avenue, Havre De Grace, MD 21078
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

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

DR. SURESH M DHANJANI M.D.
Internal Medicine
622 S UNION AVE
HAVRE DE GRACE, MD 21078
Harford County (410) 939-3770

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 Harford Primary Care LLC's NPI number?

The NPI number for Harford Primary Care LLC is 1164282943. It was assigned to this organization in the NPPES registry on March 20, 2024.

Where is Harford Primary Care LLC located?

Harford Primary Care LLC is located at 622 S Union Ave, Havre De Grace, MD 21078. The listed phone number is (410) 939-3770.

What is Harford Primary Care LLC's specialty?

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

Does Harford Primary Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2099491) is associated with this NPI, valid through July 27, 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 Harford Primary Care LLC was last updated on March 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.