Organization Active NPI

Clearline Mobile Vascular Services LLC

  • Infusion Therapy Registered Nurse
  • Waldorf, MD
National Provider Identifier
1457221293
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Registered NurseTaxonomy code 163WI0500X
Legal business name
CLEARLINE MOBILE VASCULAR SERVICES LLC
Practice address
2670 Crain Hwy Ste 106
Waldorf, MD 20601-2820
Phone
(301) 741-2156
NPI assigned
Nov 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Saidou Thiam
Title
Ceo
Phone
(301) 741-2156

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WC1500X
Infusion Therapy Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WI0500X Primary

Addresses

Primary practice location

2670 Crain Hwy Ste 106
Waldorf, MD 20601-2820

Mailing address

2670 Crain Hwy Ste 106
Waldorf, MD 20601-2820
Phone (301) 741-2156

National Provider Directory

National Provider Directory

Locations

2670 Crain Hwy
Ste 106
Waldorf, MD 20601
Phone (301) 374-8772

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1762473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762473600000",
    "number": "1457221293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2670 CRAIN HWY STE 106",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206012820",
            "telephone_number": "301-741-2156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2670 CRAIN HWY STE 106",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206012820",
            "telephone_number": "301-741-2156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARLINE MOBILE VASCULAR SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-07",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A",
        "authorized_official_last_name": "THIAM",
        "authorized_official_first_name": "SAIDOU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-741-2156"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WI0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.