Organization
RENAL TREATMENT CENTERS MID ATLANTIC INC.
Active
Other names
Renal Care of Lanham
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
4451 PARLIAMENT PL, STE R, LANHAM, MD 20706-1872
(301) 429-7300
(301) 459-2409
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
E2552
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4068301 00
—
MD
01
—
E2552
STATE LICENSURE
MD
Enumeration date
03/24/2006
Last updated
07/24/2025
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