Organization
MEDSTAR GEORGETOWN MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE SCHNEIDER (AVP)
(703) 558-1403
Entity
Organization
Contact information
Practice address
3800 RESERVOIR RD NW, WASHINGTON, DC 20007-2113
(888) 896-1400
Mailing address
PO BOX 631856, BALTIMORE, MD 21263-1856
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
09D0644931
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09D0644931
CLIA#
DC
Enumeration date
08/07/2006
Last updated
03/12/2010
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