12325 New Hampshire Avenue Dialysis Services LLC
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Silver Spring, MD. Organization (NPI-2).
NPI number1982913711
StatusActive
Last updated in NPPESJun 26, 2025
Details
- NPI
- 1982913711
- Entity type
- Organization (NPI-2)
- Legal business name
- 12325 New Hampshire Avenue Dialysis Services LLC
- Organization subpart
- No
- Enumeration date
- Sep 28, 2010
- Certification date
- Jun 26, 2025
- Last updated
- Jun 26, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0700X | Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | – | MD | Yes |
Other names
- 'Springbrook Center Dialysis Unit (Doing Business As)
Practice location
12325 New Hampshire AveSilver Spring, MD 20904-2957
Phone 301-625-8890
Mailing address
101 E State StKennett Square, PA 19348-3109
Phone 610-925-4436 · Fax 610-347-4099
Authorized official
Michael Berg
Secretary
1044446350
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