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MATCLINIC PHYSICIANS PRACTICE GROUP LLC
NPI 1245800358
Clinic/Center - Rehabilitation, Substance Use Disorder in Hagerstown, MD

Active since June 30, 2021CLIA 21D2231420 · Waiver
1101 OPAL CT STE 301, HAGERSTOWN, MD 21740(410) 220-0720(410) 862-0150 Get Directions Write a Review

NPPES record last updated: May 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 11, 2022, Jun 30, 2021 (2 updates tracked since 2021).

About Matclinic Physicians Practice Group Llc NPPES

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

MATCLINIC PHYSICIANS PRACTICE GROUP LLC (NPI 1245800358) is a healthcare organization registered as a rehabilitation, substance use disorder in Hagerstown, Maryland and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through August 2, 2027 and lists Dan Reck, Manager, as its authorized official.

NPPES Registry Identity

NPI1245800358
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameMATCLINIC PHYSICIANS PRACTICE GROUP LLC
Location Address1101 OPAL CT STE 301Hagerstown, MD 21740-5947
Mailing AddressPo Box 9068Baltimore, MD 21222-0768 · (410) 220-0720 · Fax (410) 862-0150
Phone(410) 220-0720
Fax(410) 862-0150
Organization SubpartNo
Authorized OfficialDan ReckManager · (410) 220-0720
Enumeration DateJune 30, 2021
Last NPPES UpdateMay 11, 20222 updates tracked since enumeration
NPPES CertifiedMay 11, 2022
✔ NPI 1245800358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
1101 OPAL CT STE 301, Hagerstown, MD 21740
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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 Waiver 21D2231420

Matclinic Physician Practice Group LLC · Hagerstown, MD
Active · expires Aug 2, 2027
CLIA Number21D2231420
Laboratory TypePhysician Office
Certificate Effective DateAugust 3, 2025
Certificate Expiration DateAugust 2, 2027
Laboratory DirectorDr. Enrique J. Oviedo
Laboratory Phone(443) 904-6285
Laboratory LocationMatclinic Physician Practice Group LLC1101 Opal Court, Hagerstown, MD 21740
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

ALBEMARLE LABORATORIES
Clinical Medical Laboratory
1101 OPAL CT STE 301
HAGERSTOWN, MD 21740
Washington County (410) 948-1051
MATCLINIC PHYSICIANS PRACTICE GROUP LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1101 OPAL CT STE 301
HAGERSTOWN, MD 21740
Washington County (410) 220-0720
MATCLINIC PHYSICIANS PRACTICE GROUP LLC
Internal Medicine (Addiction Medicine)
1101 OPAL CT STE 301
HAGERSTOWN, MD 21740
Washington County (410) 220-0720

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 Matclinic Physicians Practice Group LLC's NPI number?

The NPI number for Matclinic Physicians Practice Group LLC is 1245800358. It was assigned to this organization in the NPPES registry on June 30, 2021.

Where is Matclinic Physicians Practice Group LLC located?

Matclinic Physicians Practice Group LLC is located at 1101 Opal Ct Ste 301, Hagerstown, MD 21740. The listed phone number is (410) 220-0720.

What is Matclinic Physicians Practice Group LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does Matclinic Physicians Practice Group LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2231420) is associated with this NPI, valid through August 2, 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 Matclinic Physicians Practice Group LLC was last updated on May 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.