Organization Active NPI

Upmc Western Maryland Corporation

  • Physiological Laboratory
  • Cumberland, MD
National Provider Identifier
1083936629
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
License
21D0666168 Issued in MD
Legal business name
UPMC WESTERN MARYLAND CORPORATION
Practice address
1050 W Industrial Blvd
Cumberland, MD 21502-4331
Phone
(240) 964-9355
Fax
(240) 964-9356
NPI assigned
Feb 24, 2010
Organization subpart
Yes
Parent organization
WESTERN MARYLAND HEALTH SYSTEM CORPORATIONAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Amber R Ruble
Title
Sr. VP Cfo
Phone
(240) 964-8032

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D1088577Upmc Western MD Adv Med Urg Care & Occupational HL1050 Industrial Blvd, Suite 15 and 17, Cumberland, MD 21502Certificate of waiverAug 27, 2026

National Provider Directory

National Provider Directory
Part of
Steon Medical Practice

Locations

1050 W Industrial Blvd
#C
Cumberland, MD 21502
Phone (240) 964-9355

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Physiological Laboratory 293D00000X 21D0666168 MD Primary

Addresses

NPPES NPI Registry

Primary practice location

1050 W Industrial Blvd
Cumberland, MD 21502-4331

Mailing address

PO Box 539
Cumberland, MD 21501-0539
Phone (240) 964-8342

Other names 1

NPPES NPI Registry
  • UPMC Western Maryland Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 10, 2022.

{
    "created_epoch": "1266969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644451200000",
    "number": "1083936629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 539",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215010539",
            "telephone_number": "240-964-8342",
            "fax_number": "240-964-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 W INDUSTRIAL BLVD",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215024331",
            "telephone_number": "240-964-9355",
            "fax_number": "240-964-9356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPMC WESTERN MARYLAND CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTERN MARYLAND HEALTH SYSTEM CORPORATION",
        "enumeration_date": "2010-02-24",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A",
        "authorized_official_last_name": "RUBLE",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SR. VP CFO",
        "authorized_official_telephone_number": "240-964-8032"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "MD",
            "license": "21D0666168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UPMC Western Maryland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cumberland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.