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MAIN LINE HEALTH URGENT CARE AND EXTENDED OUTPATIENT CARE
NPI 1295214492
Clinic/Center - Urgent Care in Wynnewood, PA

Active since August 08, 2018CLIA 39D1101910 · Waiver
306 E LANCASTER AVE STE 200, WYNNEWOOD, PA 19096(484) 565-1293(484) 476-7855 Get Directions Write a Review

NPPES record last updated: August 8, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Main Line Health Urgent Care And Extended Outpatient Care NPPES

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

MAIN LINE HEALTH URGENT CARE AND EXTENDED OUTPATIENT CARE (NPI 1295214492) is a healthcare organization registered as an urgent care in Wynnewood, Pennsylvania and active in the NPI registry since August 2018. The organization holds a CLIA Waiver certificate valid through August 31, 2027, maintains 3 additional practice locations, and lists Michelle Snyder, Manager, as its authorized official.

NPPES Registry Identity

NPI1295214492
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameMAIN LINE HEALTHCARE
Location Address306 E LANCASTER AVE STE 200Wynnewood, PA 19096
Mailing Address3803 W Chester Pike Ste 160Newtown Square, PA 19073-2336 · (484) 337-1585 · Fax (484) 337-1412
Phone(484) 565-1293
Fax(484) 476-7855
Organization SubpartYes
Authorized OfficialMichelle SnyderManager · (484) 337-1585
Enumeration DateAugust 8, 2018
✔ NPI 1295214492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
306 E LANCASTER AVE STE 200, Wynnewood, PA 19096
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Other Names 1

Doing Business AsMain Line Health Urgent Care And Extended Outpatient Care

Secondary Practice Locations 3

Location 11991 Sproul Rd Ste 600Broomall, PA 19008-3517 · Phone (484) 565-1293 · Fax (610) 886-0164
Location 21020 Baltimore PikeGlen Mills, PA 19342-1362 · Phone (484) 565-1293 · Fax (484) 227-7781
Location 3154 Exton Square MallExton, PA 19341-2440 · Phone (484) 565-1293 · Fax (484) 903-1084

CLIA Laboratory Certificates CMS CLIA 2

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 39D1101910

Main Line Healthcare Ob/Gyn Assoc · Wynnewood, PA
Active · expires Aug 31, 2027
CLIA Number39D1101910
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2025
Certificate Expiration DateAugust 31, 2027
Laboratory DirectorDr. David D. Ufberg
Laboratory Phone(484) 572-2444
Laboratory LocationMain Line Healthcare Ob/Gyn Assoc100 Lancaster Ave, Mob South 307, Wynnewood, PA 19096
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 39D2093693

Main Line Healthcare Primary Care In Concordville · Glen Mills, PA
Expired · Aug 15, 2026
CLIA Number39D2093693
Laboratory TypePhysician Office
Certificate Effective DateAugust 16, 2024
Certificate Expiration DateAugust 15, 2026
Laboratory DirectorDr. Robert W. Wiley
Laboratory Phone(484) 227-7790
Laboratory LocationMain Line Healthcare Primary Care In Concordville1020 Baltimore Pike, Suite 100B, Glen Mills, PA 19342
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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.

ALTAIRA ANNE LAVERDA CRNP
Nurse Practitioner
306 E LANCASTER AVE STE 200
WYNNEWOOD, PA 19096
Montgomery County (484) 565-1293
DR. ROBYN J BARON D.O.
Family Medicine
306 E LANCASTER AVE STE 200
WYNNEWOOD, PA 19096
Montgomery County (484) 565-1293
JENNIFER CONNORS FNP
Nurse Practitioner (Family)
306 E LANCASTER AVE STE 200
WYNNEWOOD, PA 19096
Montgomery County (484) 565-1293

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 Main Line Healthcare's NPI number?

The NPI number for Main Line Healthcare is 1295214492. It was assigned to this organization in the NPPES registry on August 8, 2018. The provider is doing business as Main Line Health Urgent Care And Extended Outpatient Care.

Where is Main Line Healthcare located?

Main Line Healthcare is located at 306 E Lancaster Ave Ste 200, Wynnewood, PA 19096. The listed phone number is (484) 565-1293.

What is Main Line Healthcare's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Does Main Line Healthcare hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D1101910) is associated with this NPI, valid through August 31, 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 Main Line Healthcare was last updated on August 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.