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Organization

RENAL TREATMENT CENTERS MID ATLANTIC INC

Active
Other names
Ashburn Dialysis
Organization subpart
No

Provider details

NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization

Contact information

Practice address
19980 HIGHLAND VISTA DR STE 100, ASHBURN, VA 20147-4189
(571) 223-0451
(571) 223-0395
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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2019217542
VA
Enumeration date
09/04/2018
Last updated
02/19/2026
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