INNOVATIVE LABORATORIES
NPI 1285121749
Clinical Medical Laboratory in Bowie, MD

Active since April 19, 2018CLIA Certified · 3 labs
6911 LAUREL BOWIE RD STE 212B, BOWIE, MD 20715(301) 755-9500(301) 747-6017 Get Directions Write a Review

NPPES record last updated: August 13, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 13, 2019, Sep 24, 2018, May 12, 2018 and 1 more (4 updates tracked since 2018).

About Innovative Laboratories NPPES

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

INNOVATIVE LABORATORIES (NPI 1285121749) is a healthcare organization registered as a clinical medical laboratory in Bowie, Maryland and active in the NPI registry since April 2018. The organization holds 3 active CLIA laboratory certificates, maintains a secondary practice location in Salisbury, and lists Joseph Maxwell Oppong, Ceo, as its authorized official.

NPPES Registry Identity

NPI1285121749
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NamePROVIDENCE PAIN MANAGEMENT CENTER, P.A.
Location Address6911 LAUREL BOWIE RD STE 212BBowie, MD 20715-1712
Mailing Address6911 Laurel Bowie Rd Ste 212bBowie, MD 20715-1712 · (301) 755-9500 · Fax (301) 747-6017
Fax(301) 747-6017
Organization SubpartNo
Authorized OfficialJoseph Maxwell OppongCeo · (301) 750-9500
Enumeration DateApril 19, 2018
Last NPPES UpdateAugust 13, 20194 updates tracked since enumeration
NPI 1285121749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
License Licensed in MD · 21D2142104
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
6911 LAUREL BOWIE RD STE 212B, Bowie, MD 20715

Other Names 1

Doing Business AsInnovative Laboratories

Secondary Practice Location 1

Location 1201 Pine Bluff Rd Ste 1Salisbury, MD 21801-7163 · Phone (410) 648-2000 · Fax (410) 946-8360

CLIA Laboratory Certificates CMS CLIA 3

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 21D2047668

Providence Pain Management Center · Bowie, MD
Active · expires Sep 30, 2026
CLIA Number21D2047668
Laboratory TypePhysician Office
Certificate Effective DateOctober 1, 2024
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorDr. Joseph M. Oppong MD
Laboratory Phone(301) 755-9500
Laboratory LocationProvidence Pain Management Center6911 Laurel Bowie Road, Ste 212, Bowie, MD 20715
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 21D2045510

Providence Pain Management Center · Salisbury, MD
Active · expires Aug 14, 2026
CLIA Number21D2045510
Laboratory TypePhysician Office
Certificate Effective DateAugust 15, 2024
Certificate Expiration DateAugust 14, 2026
Laboratory DirectorJoseph M. Oppong MD
Laboratory Phone(301) 755-9500
Laboratory LocationProvidence Pain Management Center201 Pine Bluff Rd Ste 1, Salisbury, MD 21801
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 21D2142104

Innovative Laboratories · Bowie, MD
Active · expires Nov 4, 2026
CLIA Number21D2142104
Laboratory TypePhysician Office
Certificate Effective DateNovember 5, 2024
Certificate Expiration DateNovember 4, 2026
Laboratory DirectorDebin Lei
Laboratory Phone(302) 353-1472
Laboratory LocationInnovative Laboratories6911 Laurel Bowie Rd Suite 212B, Bowie, MD 20715
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Providence Pain Management Center, P.A.'s NPI number?

The NPI number for Providence Pain Management Center, P.A. is 1285121749. It was assigned to this organization in the NPPES registry on April 19, 2018. The provider is doing business as Innovative Laboratories.

Where is Providence Pain Management Center, P.A. located?

Providence Pain Management Center, P.A. is located at 6911 Laurel Bowie Rd Ste 212B, Bowie, MD 20715. The listed phone number is (301) 755-9500.

What is Providence Pain Management Center, P.A.'s specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Providence Pain Management Center, P.A. hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Providence Pain Management Center, P.A. was last updated on August 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.