Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

White Marsh Healthcare Physical Medicine, LLC

Organization Clinical Medical Laboratory · NPI 1376990200

White Marsh Healthcare Physical Medicine, LLC is a Clinical Medical Laboratory in White Marsh, Maryland. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5430 Campbell Blvd Ste 106
White Marsh, MD 21162-5500
Phone: (443) 725-4930
Fax: (410) 657-7478
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X

Record details

NPI number1376990200
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Gober — Owner/Provider · (443) 725-4930
NPI enumeratedMay 20, 2016
Last updated in NPPESMay 20, 2016
Mailing address5430 Campbell Blvd, Suite 106, White Marsh, MD 21162-5500

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