Organization
SOMATUS DIALYSIS OF MOUNT VERNON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA PALMER (GENERAL COUNSEL)
(202) 236-7061
Entity
Organization
Contact information
Practice address
2501 PARKERS LN STE 100, ALEXANDRIA, VA 22306-3209
(571) 549-6040
Mailing address
1861 INTERNATIONAL DR STE 600, MC LEAN, VA 22102-4420
(703) 712-6344
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
07/27/2018
Last updated
03/21/2024
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