Organization
RENAL TREATMENT CENTERS MID ATLANTIC INC
Active
Other names
Reston Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
530 HUNTMAR PARK DR, STE D, HERNDON, VA 20170-5100
(703) 437-0414
(703) 437-0498
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
—
1750345732
—
VA
Enumeration date
04/14/2006
Last updated
01/20/2026
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