Organization
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
Active
Other names
Loudoun Medical Center Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN SWINTON (DIRECTOR, CREDENTIALING)
(301) 257-2797
Entity
Organization
Contact information
Practice address
19450 DEERFIELD AVENUE, LANDSDOWNE, VA 20176-6821
(703) 729-2626
(703) 729-3141
Mailing address
4000 GARDEN CITY DR, HYATTSVILLE, MD 20785-2418
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
12/05/2006
Last updated
07/24/2025
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