# MOTSEN LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Buckley's Renewal Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043636608
- **Authorized official:** THOMAS MUSEMBI (GENERAL MANAGER)
- **Authorized official phone:** (301) 657-3033

## Contact information

- **Practice address:** 4641 MONTGOMERY AVE STE 10, BETHESDA, MD 20814-3590
- **Practice address phone:** (301) 657-3033
- **Practice address fax:** (240) 408-7887
- **Mailing address:** 4641 MONTGOMERY AVE, SUITE 10 LOWER LEVEL, BETHESDA, MD 20814-3488
- **Mailing address phone:** (301) 657-3033
- **Mailing address fax:** (301) 657-1121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | Yes |
| 291U00000X | Clinical Medical Laboratory | 1538477971 | MD | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 03/06/2014
- **Last updated:** 11/18/2020