Organization Active NPI

Aurora Primary Healthcare LLC

  • Primary Care Clinic/Center
  • Laurel, MD
National Provider Identifier
1942788211
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
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

Updated by the provider on Jan 21, 2025

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)CodeLicenseStatePrimary
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 Doing business as

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
21D2167639Aurora Health Services9811 Mallard Dr Suite 114, Laurel, MD 20708Certificate of waiverJun 11, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.