Kaiser Foundation Health Plan Of The Mid Atlantic States, INC
Clinical Medical Laboratory in Bowie, MD. Organization (NPI-2).
NPI number1437721826
StatusActive
Last updated in NPPESJul 24, 2025
Details
- NPI
- 1437721826
- Entity type
- Organization (NPI-2)
- Legal business name
- Kaiser Foundation Health Plan Of The Mid Atlantic States, INC
- Organization subpart
- Yes
- Enumeration date
- Jul 14, 2021
- Certification date
- Jul 24, 2025
- Last updated
- Jul 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | – | Yes |
Other names
- Kaiser Permanente Bowie Fairwood Medical Center Clinical Laboratory (Doing Business As)
Practice location
5400 Hillmeade RdBowie, MD 20720-4777
Phone 301-867-1300
Mailing address
4000 Garden City DrHyattsville, MD 20785-2418
Phone 301-816-2424
Authorized official
Colleen E Swinton
Credentialing Director
3012572797
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