Organization
RENAL TREATMENT CENTERS - MID-ATLANTIC, INC.
Active
Other names
Rockville Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
15204 OMEGA DR, STE 110, ROCKVILLE, MD 20850-4813
(301) 947-2427
(240) 683-2440
Mailing address
5200 VIRGINIA WAY, L&C DEPARTMENT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
E2511
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061200600
—
MD
Enumeration date
03/28/2006
Last updated
01/20/2025
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