Meritus Medical Laboratory LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

134 Issued in MD

Legal business name

MERITUS MEDICAL LABORATORY LLC

Practice address

11110 Medical Campus Rd
Suite 230
Hagerstown, MD 21742-6700

Phone

(301) 665-4900

Fax

(301) 665-4949

NPI assigned

Jun 19, 2006

Last updated

Oct 26, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joshua Repac

Title

Cfo

Phone

(301) 790-9351

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

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

CLIA laboratory certificates

Member of 1

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

• Meritus Medical Center Inc

  • General Acute Care Hospital
  • Hagerstown, MD
  • NPI 1942281266

  Member Of

  NPD member

Locations

Practitioners 122

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael J Odonoghue, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Hagerstown, MD
  • NPI 1285711192
  NPD
• Victoria Gonsorcik, D.O.

  • Anatomic Pathology & Clinical Pathology Physician
  • Somerville, NJ
  • NPI 1487876637
  NPD
• Ernest Kojo Amegashie, M.D

  • Cardiovascular Disease Physician
  • Hagerstown, MD
  • NPI 1881788677
  NPD (past)
• Saba Wasim Aziz, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Hagerstown, MD
  • NPI 1679802805
  NPD (past)
• Muna A Bahsali, CRNP

  • Family Nurse Practitioner
  • Hagerstown, MD
  • NPI 1447945597
  NPD (past)
• Carlos Enrique Barbery Jr., MD

  • Cardiovascular Disease Physician
  • Hagerstown, MD
  • NPI 1770080780
  NPD (past)
• Amanda Brooke Bauler, FNP-BC

  • Family Nurse Practitioner
  • Hancock, MD
  • NPI 1235335829
  NPD (past)
• Matthew Grey Beckwith, M.D.

  • Family Medicine Physician
  • Hagerstown, MD
  • NPI 1235162280
  NPD (past)
• Wendy E Betah, DNP, FNP-C, NRCME

  • Family Nurse Practitioner
  • Frederick, MD
  • NPI 1356850325
  NPD (past)
• Kristen Elaine Black, CRNP

  • Gerontology Nurse Practitioner
  • Hagerstown, MD
  • NPI 1730767302
  NPD (past)
• Hillary Theresa Blank, CRNP

  • Family Nurse Practitioner
  • Williamsport, MD
  • NPI 1457947145
  NPD (past)
• Steven J Blash, MD

  • Family Medicine Physician
  • Hagerstown, MD
  • NPI 1851494363
  NPD (past)

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1679518971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11110 MEDICAL CAMPUS RD",
            "address_2": "SUITE 230",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217426700",
            "telephone_number": "301-665-4900",
            "fax_number": "301-665-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11110 MEDICAL CAMPUS RD",
            "address_2": "SUITE 230",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217426700",
            "telephone_number": "301-665-4900",
            "fax_number": "301-665-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERITUS MEDICAL LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A",
        "authorized_official_last_name": "REPAC",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "301-790-9351"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MD",
            "license": "134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meritus Medical Center Inc
• Meritus Medical Center, Inc. (Meritus Total Rehab Care)
• Meritus Medical Center, Inc. (Meritus Total Rehab Care)
• Meritus Medical Center, Inc. (Meritus Total Rehab Care)
• Meritus Medical Center, Inc. (Meritus Home Health)
• Meritus Robinwood Endoscopy Center LLC.
• Meritus Robinwood Surgery Center LLC (Dr. CP Choudari Surgical Center)
• Meritus Urgent Care LLC
• Meritus Urgent Care LLC
• Meritus Urgent Care LLC

• Clinical Medical Laboratory in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Clinical Medical Laboratory in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.