Organization · NPI-2
1530 Medical Services INC
Clinic/Center, Mental Health (Including Community Mental Health Center) · Washington, DC
NPI number1912777475
StatusActive
Last updated in NPPESOct 16, 2026
Details
- NPI
- 1912777475
- Entity type
- Organization (NPI-2)
- Legal business name
- 1530 Medical Services INC
- Organization subpart
- No
- Enumeration date
- Jan 5, 2024
- Certification date
- Oct 16, 2026
- Last updated
- Oct 16, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Other names
- 1530 Medical Services (Doing Business As)
Practice location
1647 Benning Rd Ne Ste 304Washington, DC 20002-4588
Phone 202-269-6600 · Fax 202-621-9564
Mailing address
2917 Marlow RdSilver Spring, MD 20904-7126
Phone 202-269-6600 · Fax 202-838-0032
Authorized official
Deborah Ekighalo Okonofua
Office Administration
2022696600
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