Active NPI
Aurora Primary Healthcare LLC
- Primary Care Clinic/Center
- Laurel, MD
National Provider Identifier
1942788211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- AURORA PRIMARY HEALTHCARE LLC
- Doing business as
- AURORA HEALTH SERVICES LLC
- Practice address
- 9811 Mallard Dr Ste 114
Laurel, MD 20708-3180 - Phone
- (414) 202-6609
- NPI assigned
- Jul 30, 2018
- 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
- Boma Alamina
- Title
- Provider
- Phone
- (301) 477-2684
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
9811 Mallard Dr Ste 114
Laurel, MD 20708-3180
Mailing address
9811 Mallard Dr Ste 114
Laurel, MD 20708-3180
Other names 1
- AURORA HEALTH SERVICES LLC
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 |
|---|---|---|---|
| 21D2167639 | Aurora Health Services | Certificate of waiver | Jun 11, 2027 |
National Provider Directory
National Provider DirectoryLocations
9811 Mallard Dr
Ste 114
Laurel, MD 20708
Phone (301) 477-2684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532908800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737417600000",
"number": "1942788211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9811 MALLARD DR STE 114",
"city": "LAUREL",
"state": "MD",
"postal_code": "207083180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9811 MALLARD DR STE 114",
"city": "LAUREL",
"state": "MD",
"postal_code": "207083180",
"telephone_number": "414-202-6609"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AURORA PRIMARY HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-30",
"last_updated": "2025-01-21",
"certification_date": "2025-01-21",
"status": "A",
"authorized_official_last_name": "ALAMINA",
"authorized_official_first_name": "BOMA",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "301-477-2684"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "AURORA HEALTH SERVICES LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.