Active NPI
Epec Labs
- Clinical Medical Laboratory
- Rosedale, MD
National Provider Identifier
1487374872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 799594600 | Medicaid | MD |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2203000 | Epec Clinic LLC | Certificate of waiver | Dec 1, 2026 |
National Provider Directory
National Provider DirectoryNPI 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.