Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LIFEBRIDGE PRIMARY CARE OF ELDERSBURG, LLC
NPI 1720404015
Internal Medicine in Sykesville, MD

Active since March 11, 2014CLIA 21D0220927 · Waiver
1645 LIBERTY RD STE 204, SYKESVILLE, MD 21784(410) 795-7737(410) 795-2828 Get Directions Write a Review

NPPES record last updated: August 17, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 17, 2026, Aug 27, 2021 (2 updates tracked since 2021).

About Lifebridge Primary Care Of Eldersburg, Llc NPPES

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

LIFEBRIDGE PRIMARY CARE OF ELDERSBURG, LLC (NPI 1720404015), doing business as Drs Mez, Tan And Sarante, is a healthcare organization registered as an internal medicine in Sykesville, Maryland and active in the NPI registry since March 2014. The organization holds a CLIA Waiver certificate valid through October 27, 2027 and lists Mary Wright-sisk, Director, as its authorized official.

NPPES Registry Identity

NPI1720404015
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLIFEBRIDGE PRIMARY CARE OF ELDERSBURG, LLC
Location Address1645 LIBERTY RD STE 204Sykesville, MD 21784-6542
Mailing Address1645 Liberty Rd Ste 204Sykesville, MD 21784-6542 · (410) 795-7737 · Fax (410) 795-2828
Fax(410) 795-2828
Organization SubpartNo
Authorized OfficialMary Wright-siskDirector · (443) 422-9941
Enumeration DateMarch 11, 2014
Last NPPES UpdateAugust 17, 20262 updates tracked since enumeration
NPPES CertifiedAugust 17, 2026
NPI 1720404015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
1645 LIBERTY RD STE 204, Sykesville, MD 21784

Other Names 1

Doing Business AsDrs Mez, Tan And Sarante

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 of Waiver 21D0220927

Lifebridge Primary Care Of Eldersburg · Eldersburg, MD
Active · expires Oct 27, 2027
CLIA Number21D0220927
Laboratory TypePhysician Office
Certificate Effective DateOctober 28, 2025
Certificate Expiration DateOctober 27, 2027
Laboratory DirectorEllis Mez
Laboratory Phone(410) 795-7737
Laboratory LocationLifebridge Primary Care Of Eldersburg1645 Liberty Rd, Eldersburg, MD 21784
CLIA data matches this NPI record on: 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.

Nurse Practitioner (Adult Health)
1645 LIBERTY RD STE 204
ELDERSBURG, MD 21784
Nurse Practitioner (Primary Care)
1645 LIBERTY RD STE 204
ELDERSBURG, MD 21784
Internal Medicine
1645 LIBERTY RD STE 204
ELDERSBURG, MD 21784

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 Lifebridge Primary Care Of Eldersburg, LLC's NPI number?

The NPI number for Lifebridge Primary Care Of Eldersburg, LLC is 1720404015. It was assigned to this organization in the NPPES registry on March 11, 2014. The provider is doing business as Drs Mez, Tan and Sarante.

Where is Lifebridge Primary Care Of Eldersburg, LLC located?

Lifebridge Primary Care Of Eldersburg, LLC is located at 1645 Liberty Rd Ste 204, Sykesville, MD 21784. The listed phone number is (410) 795-7737.

What is Lifebridge Primary Care Of Eldersburg, LLC's specialty?

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

Does Lifebridge Primary Care Of Eldersburg, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D0220927) is associated with this NPI, valid through October 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 Lifebridge Primary Care Of Eldersburg, LLC was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.