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LAUREL MEDICAL GROUP, LLC
NPI 1477640696
Internal Medicine in Laurel, DE

Active since October 09, 2006CLIA 08D1017270 · Waiver
1124 S CENTRAL AVE, LAUREL, DE 19956(302) 875-7753 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Laurel Medical Group, Llc NPPES

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

LAUREL MEDICAL GROUP, LLC (NPI 1477640696) is a healthcare organization registered as an internal medicine in Laurel, Delaware and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through September 21, 2027 and lists Antonio Pedro, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1477640696
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLAUREL MEDICAL GROUP, LLC
Location Address1124 S CENTRAL AVELaurel, DE 19956-1418
Mailing Address66 Rivers End DrSeaford, DE 19973-8011 · (302) 628-3018
Phone(302) 875-7753
Organization SubpartNo
Authorized OfficialAntonio PedroCo-owner · (302) 875-7753
Enumeration DateOctober 9, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1477640696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in DE · C1-0005393
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X · License C1-0004999 (DE)
1124 S CENTRAL AVE, Laurel, DE 19956
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Highmark Blue Cross Blue Shield Delaware.Insurance ›

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 08D1017270

Laurel Medical Group · Laurel, DE
Active · expires Sep 21, 2027
CLIA Number08D1017270
Laboratory TypePhysician Office
Certificate Effective DateSeptember 22, 2025
Certificate Expiration DateSeptember 21, 2027
Laboratory DirectorAntonio J. Pedro
Laboratory Phone(302) 875-7753
Laboratory LocationLaurel Medical Group1124 South Central Avenue, Laurel, DE 19956
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Laurel Medical Group, LLC's NPI number?

The NPI number for Laurel Medical Group, LLC is 1477640696. It was assigned to this organization in the NPPES registry on October 9, 2006.

Where is Laurel Medical Group, LLC located?

Laurel Medical Group, LLC is located at 1124 S Central Ave, Laurel, DE 19956. The listed phone number is (302) 875-7753.

What is Laurel Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Laurel Medical Group, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 08D1017270) is associated with this NPI, valid through September 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Laurel Medical Group, LLC accept?

Health plans from AmeriHealth Caritas Next and Highmark Blue Cross Blue Shield Delaware list Laurel Medical Group, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Laurel Medical Group, LLC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.