OLDE TOWNE PRIMARY CARE LLC
NPI 1417315813
Clinic/Center - Primary Care in Gaithersburg, MD
About Olde Towne Primary Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OLDE TOWNE PRIMARY CARE LLC (NPI 1417315813) is a healthcare organization registered as a primary care in Gaithersburg, Maryland and active in the NPI registry since February 2016. The organization holds a CLIA Waiver certificate valid through July 27, 2027 and lists Rasha Bafi Saleem, Managing Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 21D2099488
Olde Towne Primary/Urgent Care · Gaithersburg, MDOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GAITHERSBURG, MD 20877
GAITHERSBURG, MD 20877
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 Olde Towne Primary Care LLC's NPI number?
The NPI number for Olde Towne Primary Care LLC is 1417315813. It was assigned to this organization in the NPPES registry on February 1, 2016.
Where is Olde Towne Primary Care LLC located?
Olde Towne Primary Care LLC is located at 317 E Diamond Ave C1, Gaithersburg, MD 20877. The listed phone number is (240) 246-1111.
What is Olde Towne Primary Care LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does Olde Towne Primary Care LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 21D2099488) is associated with this NPI, valid through July 27, 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 Olde Towne Primary Care LLC was last updated on October 25, 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.
# Olde Towne Primary Care Llc · NPI 1417315813
Primary Care organization in Gaithersburg, Maryland. Organization record, active in the CMS NPPES registry since February 1, 2016.
## Identity
- **NPI:** 1417315813 (Entity type: Organization)
- **Enumerated:** February 1, 2016
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Rasha Saleem, MANAGING OWNER
## Practice location
- **Address:** 317 E DIAMOND AVE, C1, Gaithersburg, MD 20877-3093
- **Phone:** (240) 246-1111
## Record status
- **NPPES last updated:** October 25, 2016
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1417315813) · Data from the CMS NPPES public registry.