# ODE MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699906594
- **Authorized official:** DIANE M COTTON (ADMIMISTRATIVE DIRECTOR)
- **Authorized official phone:** (301) 873-2529

## Contact information

- **Practice address:** 6323 GEORGIA AVE NW, SUITE 200, WASHINGTON, DC 20011-1101
- **Practice address phone:** (202) 291-1148
- **Practice address fax:** (202) 291-1205
- **Mailing address:** 14725 JAYSTONE DR, SILVER SPRING, MD 20905-7410
- **Mailing address phone:** (301) 989-0651
- **Mailing address fax:** (301) 384-1083

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | MD16434 | DC | Yes |

## Other

- **Enumeration date:** 07/27/2009
- **Last updated:** 07/27/2009
