Organization
ALLIANCE ORTHOPEDIC LABS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD J TINDALL CO (VICE PRESIDENT)
(410) 224-2000
Entity
Organization
Contact information
Practice address
9678 PENNSYLVANIA AVE, UPPER MARLBORO, MD 20772-3670
(301) 599-0001
(301) 599-2040
Mailing address
304 HARRY S TRUMAN PKWY, SUITE G, ANNAPOLIS, MD 21401-7379
(410) 224-2000
(410) 224-5696
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
02168273
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
027147400
—
DC
05
—
714501200
—
MD
01
—
J5690001
CAREFIRST NATIONAL CAP
DC
01
—
MJ61AL
CAREFIRST MD
MD
Enumeration date
03/22/2007
Last updated
08/22/2020
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