Kaiser Foundation Health Plan of the Mid Atlantic States, INC

NPI #1912072851 in Largo, Maryland

Provider Information

NPI Number: 1912072851
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: Nov 22, 2006
Last Updated: Oct 10, 2025

Practice Location

Address: 1221 MERCANTILE LANE
City: Largo
State: Maryland
ZIP Code: 20774-5374
Phone: (301) 618-5502

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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