Organization
CARLA B MACLEOD MD & ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLA BELTRAN MACLEOD MD (OWNER)
(304) 926-4707
Entity
Organization
Contact information
Practice address
18207A FLOWER HILL WAY, GAITHERSBURG, MD 20879-5331
(301) 926-4707
Mailing address
PO BOX 630984, BALTIMORE, MD 21263-0984
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
21D0947364
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220025431
RAILROAD
—
01
—
4504
BCBS OF WASHINGTON DC
DC
05
—
731101000
—
MD
Enumeration date
07/14/2005
Last updated
02/17/2010
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