EXPRESSCARE OF SEVERNA PARK
NPI 1164925202
Clinic/Center - Urgent Care in Severna Park, MD

Active since March 15, 2018CLIA 21D2142065 · Waiver
153 RITCHIE HWY, SEVERNA PARK, MD 21146(410) 544-0571(410) 544-0574 Get Directions Write a Review

NPPES record last updated: June 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 23, 2024, Nov 9, 2023, Nov 26, 2021 and 1 more (4 updates tracked since 2018).

About Expresscare Of Severna Park NPPES

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

EXPRESSCARE OF SEVERNA PARK (NPI 1164925202) is a healthcare organization registered as an urgent care in Severna Park, Maryland and active in the NPI registry since March 2018. The organization holds a CLIA Waiver certificate valid through January 2, 2028 and lists Steven Fisher, Director, Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1164925202
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameMNR INDUSTRIES, LLC
Location Address153 RITCHIE HWYSeverna Park, MD 21146
Mailing Address1505 E Churchville RdBel Air, MD 21014-4742 · (410) 420-6970
Fax(410) 544-0574
Organization SubpartNo
Authorized OfficialSteven FisherDirector, Revenue Cycle · (410) 420-6970
Enumeration DateMarch 15, 2018
Last NPPES UpdateJune 23, 20244 updates tracked since enumeration
NPPES CertifiedJune 23, 2024
NPI 1164925202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
153 RITCHIE HWY, Severna Park, MD 21146

Other Names 1

Doing Business AsExpresscare Of Severna Park

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 21D2142065

Expresscare Of Severna Park · Severna Park, MD
Active · expires Jan 2, 2028
CLIA Number21D2142065
Laboratory TypeCommunity Clinic
Certificate Effective DateJanuary 3, 2026
Certificate Expiration DateJanuary 2, 2028
Laboratory DirectorSitta Gombeh-Alie
Laboratory Phone(302) 233-6237
Laboratory LocationExpresscare Of Severna Park153 Ritchie Highway, Severna Park, MD 21146
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Mnr Industries, LLC's NPI number?

The NPI number for Mnr Industries, LLC is 1164925202. It was assigned to this organization in the NPPES registry on March 15, 2018. The provider is doing business as Expresscare Of Severna Park.

Where is Mnr Industries, LLC located?

Mnr Industries, LLC is located at 153 Ritchie Hwy, Severna Park, MD 21146. The listed phone number is (410) 544-0571.

What is Mnr Industries, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Does Mnr Industries, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2142065) is associated with this NPI, valid through January 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mnr Industries, LLC was last updated on June 23, 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.