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PEDIATRIC TLC, INC
NPI 1225573413
Pediatrics - Adolescent Medicine in Hagerstown, MD

Active since December 27, 2016CLIA 21D2005801 · Waiver
334 MILL ST, HAGERSTOWN, MD 21740(301) 393-9170(301) 393-9173 Get Directions Write a Review

NPPES record last updated: December 27, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pediatric Tlc, Inc NPPES

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

PEDIATRIC TLC, INC (NPI 1225573413) is a healthcare organization registered as an adolescent medicine in Hagerstown, Maryland and active in the NPI registry since December 2016. The organization holds a CLIA Waiver certificate valid through April 5, 2028 and lists Mohammad Tariq, President, as its authorized official.

NPPES Registry Identity

NPI1225573413
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NamePEDIATRIC TLC, INC
Location Address334 MILL STHagerstown, MD 21740-6138
Mailing Address334 Mill StHagerstown, MD 21740-6138 · (301) 393-9170 · Fax (301) 393-9173
Phone(301) 393-9170
Fax(301) 393-9173
Organization SubpartNo
Authorized OfficialMohammad TariqPresident · (301) 331-7882
Enumeration DateDecember 27, 2016
✔ NPI 1225573413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in MD · D0064771
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
334 MILL ST, Hagerstown, MD 21740
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Other Identifiers 1

Medicaid013140700MD

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 21D2005801

Pediatric Tlc Inc · Hagerstown, MD
Active · expires Apr 5, 2028
CLIA Number21D2005801
Laboratory TypePhysician Office
Certificate Effective DateApril 6, 2026
Certificate Expiration DateApril 5, 2028
Laboratory DirectorMohammad Tariq
Laboratory Phone(301) 393-9170
Laboratory LocationPediatric Tlc Inc334 Mill Street, Hagerstown, MD 21740
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 2

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

MOHAMMAD TARIQ M.D.
Pediatrics
334 MILL ST
HAGERSTOWN, MD 21740
Washington County (301) 393-9170
CHELSEA SHOAF CRNP
Nurse Practitioner (Family)
334 MILL ST
HAGERSTOWN, MD 21740
Washington County (301) 393-9170

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 Pediatric Tlc, Inc's NPI number?

The NPI number for Pediatric Tlc, Inc is 1225573413. It was assigned to this organization in the NPPES registry on December 27, 2016.

Where is Pediatric Tlc, Inc located?

Pediatric Tlc, Inc is located at 334 Mill St, Hagerstown, MD 21740. The listed phone number is (301) 393-9170.

What is Pediatric Tlc, Inc's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Does Pediatric Tlc, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2005801) is associated with this NPI, valid through April 5, 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 Pediatric Tlc, Inc was last updated on December 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.