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ENVISIONCARE MEDICAL ASSOCIATES, LLC
NPI 1578729331
Clinic/Center in Upper Marlboro, MD

Active since July 31, 2008CLIA 21D1087343 · Waiver
10507 MONTANA TER, UPPER MARLBORO, MD 20774(301) 237-7383(301) 322-9555 Get Directions Write a Review

NPPES record last updated: July 31, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Envisioncare Medical Associates, Llc NPPES

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

ENVISIONCARE MEDICAL ASSOCIATES, LLC (NPI 1578729331) is a healthcare organization registered as a clinic/center in Upper Marlboro, Maryland and active in the NPI registry since July 2008. The organization holds a CLIA Waiver certificate valid through July 31, 2026 and lists Chinwe N Ndubisi, Medical Practitioner, as its authorized official.

NPPES Registry Identity

NPI1578729331
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameENVISIONCARE MEDICAL ASSOCIATES, LLC
Location Address10507 MONTANA TERUpper Marlboro, MD 20774-6034
Mailing Address1400 Mercantile Ln, Suite 124Largo, MD 20774-5341 · (301) 322-9292 · Fax (301) 322-9555
Phone(301) 237-7383
Fax(301) 322-9555
Organization SubpartNo
Authorized OfficialChinwe N NdubisiMedical Practitioner · (301) 237-7383
Enumeration DateJuly 31, 2008
✔ NPI 1578729331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in MD · NP117688
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

10507 MONTANA TER, Upper Marlboro, MD 20774
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Other Identifiers 1

Other1770745184MD · Npi-cms

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 21D1087343

Envisioncare Medical Associates · Largo, MD
Active · expires Jul 31, 2026
CLIA Number21D1087343
Laboratory TypePractitioner Other
Certificate Effective DateAugust 1, 2024
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorChinwe N. Ndubisi
Laboratory Phone(301) 322-9292
Laboratory LocationEnvisioncare Medical Associates1400 Mercantile Lane Suite 124, Largo, MD 20774
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 Envisioncare Medical Associates, LLC's NPI number?

The NPI number for Envisioncare Medical Associates, LLC is 1578729331. It was assigned to this organization in the NPPES registry on July 31, 2008.

Where is Envisioncare Medical Associates, LLC located?

Envisioncare Medical Associates, LLC is located at 10507 Montana Ter, Upper Marlboro, MD 20774. The listed phone number is (301) 237-7383.

What is Envisioncare Medical Associates, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Envisioncare Medical Associates, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D1087343) is associated with this NPI, valid through July 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Envisioncare Medical Associates, LLC was last updated on July 31, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.