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EDEN HEALTH CLINIC INC
NPI 1285310847
Clinic/Center - Multi-Specialty in Gaithersburg, MD

Active since June 27, 2023CLIA 21D2285049 · Waiver
481 N FREDERICK AVE STE 103, GAITHERSBURG, MD 20877(240) 203-8881 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 13, 2025, Feb 9, 2024, Oct 16, 2023 (3 updates tracked since 2023).

About Eden Health Clinic Inc NPPES

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

EDEN HEALTH CLINIC INC (NPI 1285310847) is a healthcare organization registered as a multi-specialty in Gaithersburg, Maryland and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through July 4, 2027 and lists Ruby Lee, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1285310847
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameEDEN HEALTH CLINIC INC
Location Address481 N FREDERICK AVE STE 103Gaithersburg, MD 20877-2470
Mailing Address481 N Frederick Ave Ste 103Gaithersburg, MD 20877-2470 · (240) 203-8881
Phone(240) 203-8881
Organization SubpartNo
Authorized OfficialRuby LeeAuthorized Official · (240) 203-8881
Enumeration DateJune 27, 2023
Last NPPES UpdateAugust 13, 20253 updates tracked since enumeration
NPPES CertifiedAugust 13, 2025
✔ NPI 1285310847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPharmacy · Clinic PharmacyTaxonomy 3336C0002X
481 N FREDERICK AVE STE 103, Gaithersburg, MD 20877
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 21D2285049

Eden Health Clinic Inc · Gaithersburg, MD
Active · expires Jul 4, 2027
CLIA Number21D2285049
Laboratory TypePhysician Office
Certificate Effective DateJuly 5, 2025
Certificate Expiration DateJuly 4, 2027
Laboratory DirectorRuby Lee
Laboratory Phone(240) 203-8881
Laboratory LocationEden Health Clinic Inc481 N Frederick Avenue #103, Gaithersburg, MD 20877
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

EDEN PHARMACOLOGY CENTER
Family Medicine
481 N FREDERICK AVE STE 103
GAITHERSBURG, MD 20877
Montgomery County (301) 298-9890
RUBY LEE
Pharmacist
481 N FREDERICK AVE STE 103
GAITHERSBURG, MD 20877
Montgomery County (301) 298-9890
KWANG SE LEE PHARMD
Pharmacist
481 N FREDERICK AVE STE 103
GAITHERSBURG, MD 20877
Montgomery County (301) 298-9890
RNK PHARMACY INC.
Pharmacy
481 N FREDERICK AVE STE 103
GAITHERSBURG, MD 20877
Montgomery County (301) 298-9890

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 Eden Health Clinic Inc's NPI number?

The NPI number for Eden Health Clinic Inc is 1285310847. It was assigned to this organization in the NPPES registry on June 27, 2023.

Where is Eden Health Clinic Inc located?

Eden Health Clinic Inc is located at 481 N Frederick Ave Ste 103, Gaithersburg, MD 20877. The listed phone number is (240) 203-8881.

What is Eden Health Clinic Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Eden Health Clinic Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2285049) is associated with this NPI, valid through July 4, 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 Eden Health Clinic Inc was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.