Organization Active NPI

Epec Labs

  • Clinical Medical Laboratory
  • Rosedale, MD
National Provider Identifier
1487374872
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
EPEC LABS
Practice address
9110 Philadelphia Rd Ste 210
Rosedale, MD 21237-4325
Phone
(443) 559-8354
NPI assigned
Aug 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Authorized official

Name
Lekeya Hutton, CRNP
Title
Owner
Phone
(410) 419-9428

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

9110 Philadelphia Rd Ste 210
Rosedale, MD 21237-4325

Mailing address

9110 Philadelphia Rd Ste 210
Rosedale, MD 21237-4325
Phone (443) 559-8354

Other identifiers 1

IdentifierTypeStateIssuer
799594600MedicaidMD

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
21D2203000Epec Clinic LLC9110 Philadelphia Rd #210, Rosedale, MD 21237Certificate of waiverDec 1, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1487374872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9110 PHILADELPHIA RD STE 210",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212374325",
            "telephone_number": "443-559-8354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9110 PHILADELPHIA RD STE 210",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212374325",
            "telephone_number": "443-559-8354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPEC LABS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A",
        "authorized_official_last_name": "HUTTON",
        "authorized_official_first_name": "LEKEYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-419-9428",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "799594600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosedale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.