MD IMMEDIATE CARE LLC
NPI 1770824195
Clinic/Center - Urgent Care in Havre De Grace, MD

Active since March 11, 2013CLIA 21D2083221 · Waiver
504 LEWIS ST, HAVRE DE GRACE, MD 21078(443) 502-5311(443) 955-5736 Get Directions Write a Review

NPPES record last updated: October 3, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Md Immediate Care Llc NPPES

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

MD IMMEDIATE CARE LLC (NPI 1770824195) is a healthcare organization registered as an urgent care in Havre De Grace, Maryland and active in the NPI registry since March 2013. The organization holds a CLIA Waiver certificate valid through September 1, 2026 and lists Rehan Khan, President, as its authorized official.

NPPES Registry Identity

NPI1770824195
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameMD IMMEDIATE CARE LLC
Location Address504 LEWIS STHavre De Grace, MD 21078-3420
Mailing Address504 Lewis StHavre De Grace, MD 21078-3420 · (443) 502-5311 · Fax (443) 955-5736
Fax(443) 955-5736
Organization SubpartNo
Authorized OfficialRehan KhanPresident · (443) 243-8894
Enumeration DateMarch 11, 2013
Last NPPES UpdateOctober 3, 2014
NPI 1770824195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
504 LEWIS ST, Havre De Grace, MD 21078

Other Identifiers 1

Medicare PIN292744MD

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 21D2083221

MD Immediate Care · Havre De Grace, MD
Active · expires Sep 1, 2026
CLIA Number21D2083221
Laboratory TypeUrgent Care Ctr
Certificate Effective DateSeptember 2, 2024
Certificate Expiration DateSeptember 1, 2026
Laboratory DirectorRehan A. Khan MD
Laboratory Phone(443) 613-5787
Laboratory LocationMD Immediate Care504 Lewis Street, Havre De Grace, MD 21078
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner (Family)
504 LEWIS ST
HAVRE DE GRACE, MD 21078
Family Medicine
504 LEWIS ST
HAVRE DE GRACE, MD 21078
Surgery
504 LEWIS ST
HAVRE DE GRACE, MD 21078
Surgery
504 LEWIS ST
HAVRE DE GRACE, MD 21078
Nurse Practitioner (Family)
504 LEWIS ST
HAVRE DE GRACE, MD 21078

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 MD Immediate Care LLC's NPI number?

The NPI number for MD Immediate Care LLC is 1770824195. It was assigned to this organization in the NPPES registry on March 11, 2013.

Where is MD Immediate Care LLC located?

MD Immediate Care LLC is located at 504 Lewis St, Havre De Grace, MD 21078. The listed phone number is (443) 502-5311.

What is MD Immediate Care LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Does MD Immediate Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2083221) is associated with this NPI, valid through September 1, 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 MD Immediate Care LLC was last updated on October 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.