Organization
PINEVIEW DIALYSIS CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN FLINGLASS CPA (VP FINANCE)
(410) 766-1995
Entity
Organization
Contact information
Practice address
9106 PINE VIEW LN, CLINTON, MD 20735-3229
(301) 856-2930
Mailing address
8028 RITCHIE HWY STE 210, PASADENA, MD 21122-1075
(410) 766-1995
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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