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METRO XTRACARE P.C.
NPI 1477958429
Clinic/Center - Primary Care in Windsor Mill, MD

Active since October 31, 2014CLIA 21D2096991 · Waiver
3608 MILFORD MILL RD, WINDSOR MILL, MD 21244(443) 272-7858 Get Directions Write a Review

NPPES record last updated: July 2, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Metro Xtracare P.c. NPPES

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

METRO XTRACARE P.C. (NPI 1477958429) is a healthcare organization registered as a primary care in Windsor Mill, Maryland and active in the NPI registry since October 2014. The organization holds a CLIA Waiver certificate valid through June 4, 2027 and lists Babajide O Runsewe, President, as its authorized official.

NPPES Registry Identity

NPI1477958429
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMETRO XTRACARE P.C.
Location Address3608 MILFORD MILL RDWindsor Mill, MD 21244-3328
Mailing Address3608 Milford Mill RdWindsor Mill, MD 21244-3328 · (443) 272-7858
Phone(443) 272-7858
Organization SubpartNo
Authorized OfficialBabajide O RunsewePresident · (443) 272-7858
Enumeration DateOctober 31, 2014
Last NPPES UpdateJuly 2, 2023
NPPES CertifiedJuly 2, 2023
✔ NPI 1477958429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in MD · D15720816
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X · License D15720816 (MD)
3608 MILFORD MILL RD, Windsor Mill, MD 21244
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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 21D2096991

Metro Xtracare PC · Windsor Mill, MD
Active · expires Jun 4, 2027
CLIA Number21D2096991
Laboratory TypePhysician Office
Certificate Effective DateJune 5, 2025
Certificate Expiration DateJune 4, 2027
Laboratory DirectorBabajide O. Runsewe
Laboratory Phone(443) 272-7858
Laboratory LocationMetro Xtracare PC3608 Milford Mill Rd, Windsor Mill, MD 21244
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only 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.

BROAD PLACE, INC
Day Training, Developmentally Disabled Services
3608 MILFORD MILL RD
WINDSOR MILL, MD 21244
Baltimore County (240) 360-3693
BABAJIDE RUNSEWE MD
Family Medicine
3608 MILFORD MILL RD
WINDSOR MILL, MD 21244
Baltimore County (443) 272-7858
A BROAD PLACE LLC
Behavior Analyst
3608 MILFORD MILL RD
WINDSOR MILL, MD 21244
Baltimore County (443) 272-7858

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 Metro Xtracare P.C.'s NPI number?

The NPI number for Metro Xtracare P.C. is 1477958429. It was assigned to this organization in the NPPES registry on October 31, 2014.

Where is Metro Xtracare P.C. located?

Metro Xtracare P.C. is located at 3608 Milford Mill Rd, Windsor Mill, MD 21244. The listed phone number is (443) 272-7858.

What is Metro Xtracare P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Metro Xtracare P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2096991) is associated with this NPI, valid through June 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 Metro Xtracare P.C. was last updated on July 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.