LGM HEALTHCARE SERVICES
NPI 1679078679
Nurse Practitioner - Family in Nottingham, MD

Active since March 29, 2018CLIA 21D2208649 · Microscopy
7850 ROSSVILLE BLVD STE 210, NOTTINGHAM, MD 21236(443) 858-6828 Get Directions Write a Review

NPPES record last updated: January 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 19, 2021, Nov 17, 2020, Mar 29, 2018 (3 updates tracked since 2018).

About Lgm Healthcare Services NPPES

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

LGM HEALTHCARE SERVICES (NPI 1679078679) is a healthcare organization registered as a family in Nottingham, Maryland and active in the NPI registry since March 2018. The organization holds a CLIA Microscopy certificate valid through January 6, 2027 and lists Ila Melvin, Family Nurse Practitoner, as its authorized official.

NPPES Registry Identity

NPI1679078679
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameLGM HEALTHCARE SERVICES & AESTHETICS MEDICINE
Location Address7850 ROSSVILLE BLVD STE 210Nottingham, MD 21236-3934
Mailing Address7850 Rossville Blvd Ste 210Nottingham, MD 21236-3934 · (410) 661-9020
Organization SubpartNo
Authorized OfficialIla MelvinFamily Nurse Practitoner · (410) 661-9020
Enumeration DateMarch 29, 2018
Last NPPES UpdateJanuary 19, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2021
NPI 1679078679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
7850 ROSSVILLE BLVD STE 210, Nottingham, MD 21236

Other Names 1

Doing Business AsLgm Healthcare Services

Other Identifiers 1

Medicaid444289000MD

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 for Provider-Performed Microscopy Procedures (PPMP) 21D2208649

Lgm Healthcare Services & Aesthetics Medicine LLC · Baltimore, MD
Active · expires Jan 6, 2027
CLIA Number21D2208649
Laboratory TypePhysician Office
Certificate Effective DateJanuary 7, 2025
Certificate Expiration DateJanuary 6, 2027
Laboratory DirectorIla L. Melvin
Laboratory Phone(410) 870-5385
Laboratory LocationLgm Healthcare Services & Aesthetics Medicine LLC7850 Rossvile Blvd #210, Baltimore, MD 21236
CLIA data matches this NPI record on: 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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
7850 ROSSVILLE BLVD STE 210
BALTIMORE, MD 21236
Clinic/Center
7850 ROSSVILLE BLVD STE 210
NOTTINGHAM, MD 21236

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 Lgm Healthcare Services & Aesthetics Medicine's NPI number?

The NPI number for Lgm Healthcare Services & Aesthetics Medicine is 1679078679. It was assigned to this organization in the NPPES registry on March 29, 2018. The provider is doing business as Lgm Healthcare Services.

Where is Lgm Healthcare Services & Aesthetics Medicine located?

Lgm Healthcare Services & Aesthetics Medicine is located at 7850 Rossville Blvd Ste 210, Nottingham, MD 21236. The listed phone number is (443) 858-6828.

What is Lgm Healthcare Services & Aesthetics Medicine's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Lgm Healthcare Services & Aesthetics Medicine hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 21D2208649) is associated with this NPI, valid through January 6, 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 Lgm Healthcare Services & Aesthetics Medicine was last updated on January 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.