Active NPI
MNR Industries, LLC
- Urgent Care Clinic/Center
- Owings Mills, MD
National Provider Identifier
1740586700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- MNR INDUSTRIES, LLC
- Doing business as
- ExpressCare of Owings Mills
- Practice address
- 10490 Owings Mills Blvd
Owings Mills, MD 21117 - Phone
- (410) 363-7281
- Fax
- (410) 363-7282
- NPI assigned
- Feb 8, 2011
- 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
- Steven Fisher
- Title
- Director, Revenue Cycle
- Phone
- (410) 420-6970
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
10490 Owings Mills Blvd
Owings Mills, MD 21117
Mailing address
1505 E Churchville Rd
Bel Air, MD 21014-4742
Phone (410) 420-6970
Other names 1
- ExpressCare of Owings Mills
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050204000088 | MD | Part B Supplier - Clinic/Group Practice | 7416908843 |
Receives reassigned benefits from 138 practitioners 34 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Gambrills, MD; Hanover, MD; Hagerstown, MD; Hampstead, MD; Largo, MD; Laurel, MD; Loch Raven, MD; Middle River, MD… |
Other NPIs on the same Medicare enrollment 33
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
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 |
|---|---|---|---|
| 21D2021699 | Expresscare of Owings Mills | Certificate of waiver | Mar 17, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297123200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719100800000",
"number": "1740586700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1505 E CHURCHVILLE RD",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210144742",
"telephone_number": "410-420-6970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10490 OWINGS MILLS BLVD",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "21117",
"telephone_number": "410-363-7281",
"fax_number": "410-363-7282"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MNR INDUSTRIES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-08",
"last_updated": "2024-06-23",
"certification_date": "2024-06-23",
"status": "A",
"authorized_official_last_name": "FISHER",
"authorized_official_first_name": "STEVEN",
"authorized_official_title_or_position": "DIRECTOR, REVENUE CYCLE",
"authorized_official_telephone_number": "410-420-6970"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ExpressCare of Owings Mills",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Owings Mills, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2024; 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.