UTOPIA MEDICAL LLC
NPI 1720804347
Nurse Practitioner - Family in Upper Marlboro, MD

Active since November 27, 2024CLIA 21D2318435 · Waiver
14503 MAIN ST RM A, UPPER MARLBORO, MD 20772(240) 375-0384 Get Directions Write a Review

NPPES record last updated: December 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Utopia Medical Llc NPPES

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

UTOPIA MEDICAL LLC (NPI 1720804347) is a healthcare organization registered as a family in Upper Marlboro, Maryland and active in the NPI registry since November 2024. The organization holds a CLIA Waiver certificate valid through February 10, 2027 and lists Rebecca Etta Ngassa, Owner, as its authorized official.

NPPES Registry Identity

NPI1720804347
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameUTOPIA MEDICAL LLC
Location Address14503 MAIN ST RM AUpper Marlboro, MD 20772-3010
Mailing Address4015 Wales LnUpper Marlboro, MD 20772-7997 · (240) 375-0384
Organization SubpartNo
Authorized OfficialRebecca Etta NgassaOwner · (240) 640-5233
Enumeration DateNovember 27, 2024
Last NPPES UpdateDecember 16, 2024
NPPES CertifiedDecember 16, 2024
NPI 1720804347 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
14503 MAIN ST RM A, Upper Marlboro, MD 20772

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

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 21D2318435

Utopia Medical LLC · Upper Marlboro, MD
Active · expires Feb 10, 2027
CLIA Number21D2318435
Laboratory TypePractitioner Other
Certificate Effective DateFebruary 11, 2025
Certificate Expiration DateFebruary 10, 2027
Laboratory DirectorRebecca Ngassa
Laboratory Phone(240) 774-2880
Laboratory LocationUtopia Medical LLC14503 Main Street Suite A, Upper Marlboro, MD 20772
CLIA data matches this NPI record on: Name
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 Utopia Medical LLC's NPI number?

The NPI number for Utopia Medical LLC is 1720804347. It was assigned to this organization in the NPPES registry on November 27, 2024.

Where is Utopia Medical LLC located?

Utopia Medical LLC is located at 14503 Main St Rm A, Upper Marlboro, MD 20772. The listed phone number is (240) 375-0384.

What is Utopia Medical LLC's specialty?

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

Does Utopia Medical LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2318435) is associated with this NPI, valid through February 10, 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 Utopia Medical LLC was last updated on December 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.