Organization
UPMC WESTERN MARYLAND CORPORATION
Active
Parent organization
UPMC WESTERN MARYLAND CORPORATION
Other names
Western Maryland Outpatient Diagnostic Center - Johnson Heights, UPMC Western Maryland
Organization subpart
Yes
Provider details
NPI number
Legal business name
UPMC WESTERN MARYLAND CORPORATION
Authorized official
AMBER R RUBLE (SR. VP CFO)
(240) 964-8032
Entity
Organization
Contact information
Practice address
625 KENT AVE, CUMBERLAND, MD 21502-3794
(240) 964-4205
(240) 964-8337
Mailing address
625 KENT AVE, CUMBERLAND, MD 21502-3794
(240) 964-4205
(240) 964-8337
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
62019001 W478ME
CAREFIRST LABORATORY
MD
01
—
62019102 KFA4ME
CAREFIRST RADIOLOGY
MD
Enumeration date
02/20/2007
Last updated
02/10/2022
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