Organization
VIDA HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANA VELASQUEZ (OWNER)
(301) 275-4776
Entity
Organization
Contact information
Practice address
10770 COLUMBIA PIKE STE 300, SILVER SPRING, MD 20901-4439
(301) 275-4776
Mailing address
15524 THOMPSON RD, SILVER SPRING, MD 20905-3954
(301) 275-4776
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
11/23/2021
Last updated
07/28/2022
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