PRIMARY HEALTH & WELLNESS CENTER LLC
NPI 1225274061
Specialist in Ellicott City, MD

Active since December 29, 2008CLIA 21D2006711 · Waiver
9055 CHEVROLET DR, SUITE 103, ELLICOTT CITY, MD 21042(410) 465-7850(410) 465-3716 Get Directions Write a Review

NPPES record last updated: January 27, 2010. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Primary Health & Wellness Center Llc NPPES

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

PRIMARY HEALTH & WELLNESS CENTER LLC (NPI 1225274061) is a healthcare organization registered as a specialist in Ellicott City, Maryland and active in the NPI registry since December 2008. The organization holds a CLIA Waiver certificate valid through April 27, 2028 and lists Mitul Dave, President, as its authorized official.

NPPES Registry Identity

NPI1225274061
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePRIMARY HEALTH & WELLNESS CENTER LLC
Location Address9055 CHEVROLET DR, SUITE 103Ellicott City, MD 21042-4016
Mailing Address9055 Chevrolet Dr, Suite 103Ellicott City, MD 21042-4016 · (410) 465-7850 · Fax (410) 465-3716
Fax(410) 465-3716
Organization SubpartNo
Authorized OfficialMitul DavePresident · (410) 465-7850
Enumeration DateDecember 29, 2008
Last NPPES UpdateJanuary 27, 2010
NPI 1225274061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in MD · D0057313
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
9055 CHEVROLET DR, Ellicott City, MD 21042

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 MULTIPLE 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 21D2006711

Primary Health & Wellness Center,llc · Ellicott City, MD
Active · expires Apr 27, 2028
CLIA Number21D2006711
Laboratory TypePhysician Office
Certificate Effective DateApril 28, 2026
Certificate Expiration DateApril 27, 2028
Laboratory DirectorDr. Mitul N. Dave
Laboratory Phone(410) 465-7850
Laboratory LocationPrimary Health & Wellness Center,llc9055 Chevrolet Drive, Suite 103, Ellicott City, MD 21042
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 7

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

Naturopath
9055 CHEVROLET DR, SUTIE 202
ELLICOTT CITY, MD 21042
Nurse Practitioner (Family)
9055 CHEVROLET DR, #103
ELLICOTT CITY, MD 21042
Counselor (Professional)
9055 CHEVROLET DR, SUITE 202
ELLICOTT CITY, MD 21042
Nurse Practitioner (Family)
9055 CHEVROLET DR
ELLICOTT CITY, MD 21042
Urology
9055 CHEVROLET DR, SUITE 201
ELLICOTT CITY, MD 21042
Dermatology
9055 CHEVROLET DR, SUITE 204
ELLICOTT CITY, MD 21042
Obstetrics & Gynecology
9055 CHEVROLET DR, SUITE 102
ELLICOTT CITY, MD 21042

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 Primary Health & Wellness Center LLC's NPI number?

The NPI number for Primary Health & Wellness Center LLC is 1225274061. It was assigned to this organization in the NPPES registry on December 29, 2008.

Where is Primary Health & Wellness Center LLC located?

Primary Health & Wellness Center LLC is located at 9055 Chevrolet Dr Suite 103, Ellicott City, MD 21042. The listed phone number is (410) 465-7850.

What is Primary Health & Wellness Center LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Primary Health & Wellness Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2006711) is associated with this NPI, valid through April 27, 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 Primary Health & Wellness Center LLC was last updated on January 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.