Organization
RENAL TREATMENT CENTERS - MID-ATLANTIC, INC.
Active
Other names
Kidney Care of Largo
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
1300 MERCANTILE LN, STE 194, UPPER MARLBORO, MD 20774-5339
(301) 925-4100
(301) 925-4810
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
E2530
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405358300
—
MD
Enumeration date
03/24/2006
Last updated
08/29/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us