Kaiser Foundation Health Plan of the Mid Atlantic States, INC

NPI #1750424875 in Ashburn, Virginia

Provider Information

NPI Number: 1750424875
Entity Type: Organization
Organization Name: Kaiser Foundation Health Plan of the Mid Atlantic States, INC
Subpart: Yes (part of a larger organization)
Parent Organization: KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC
Primary Specialty: Clinical Medical Laboratory
Enumeration Date: Feb 15, 2007
Last Updated: Oct 10, 2025

Practice Location

Address: 43480 YUKON DRIVE
Address 2: SUITE 100
City: Ashburn
State: Virginia
ZIP Code: 20147-6984
Phone: (571) 252-6043

Authorized Official

Name: COLLEEN SWINTON
Title: CREDENTIALING DIRECTOR
Phone: (301) 257-2797

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinical Medical Laboratory	291U00000X	Primary

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