KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC.


Address: 1221 Mercantile Lane, Largo, MD 20774-5374
Phone: 3016185502

KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC. (NPI# 1912072851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912072851
Entity Type Organization
Organization Name KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC.
Other Organization Name LARGO MEDICAL CENTER LABRATORY
Practice Address 1221 Mercantile Lane
Largo
MD 20774-5374
Mailing Address 2101 E Jefferson Street 3 West
Kaiser Permanente Data Mgmt Dept Attn Sanjay Mathur
Rockville
MD 20852-4908
Practice Telephone 3016185502
Practice Fax Number 3016185510
Mailing Telephone 3018167446
Mailing Fax Number 3018167170
Enumeration Date 2006-11-22
Last Update Date 2014-06-25
Authorized Official Name DEANNE G PETERSEN (CHIEF FINANCIAL OFFICER)
Authorized Official Telephone 3018165780
Is Organization Subpart Y
Parent Organization Name KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory Laboratories

Other Provider/Organization Names

Other Name Type Code
Largo Medical Center Labratory Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1316574833 Kaiser Foundation Health Plan of The Mid-atlantic States, Inc. Clinic/Center 4400 Forbes Blvd, Lanham, MD 20706-4447 2020-03-25
1215058326 Kaiser Foundation Health Plan of The Mid-atlantic States, Inc. Health Maintenance Organization 12255 Fair Oaks Pkwy, Fairfax, VA 22033-3952 2007-04-03
1285752121 Kaiser Foundation Health Plan of The Mid-atlantic States, Inc. Health Maintenance Organization 7670 Quarterfield Rd, Glen Burnie, MD 21061-3947 2007-03-27
1417075318 Kaiser Foundation Health Plan of The Mid-atlantic States, Inc. Health Maintenance Organization 7190 Crestwood Boulevard, Frederick, MD 21703-7314 2007-03-27
1699833202 Kaiser Foundation Health Plan of The Mid-atlantic States, Inc. Clinical Medical Laboratory 6625 Belcrest Highway, Hyattsville, MD 20782-2003 2006-12-05
1285272369 Kaiser Foundation Health Plan of The Mid-atlantic States, Inc. Clinic/Center 700 2nd St Ne, Washington, DC 20002-8100 2019-12-19
1457999542 Kaiser Foundation Health Plan of The Mid-atlantic States, Inc. Clinic/Center 4920 Campbell Blvd, Baltimore, MD 21236-5916 2019-12-19
1689212763 Kaiser Foundation Health Plan of The Mid-atlantic States, Inc. Clinic/Center 201 N Washington St, Falls Church, VA 22046-4518 2019-12-19
1659919744 Kaiser Foundation Health Plan of The Mid-atlantic States, Inc. Clinic/Center 6501 Loisdale Ct, Springfield, VA 22150-1826 2019-12-19
1710525803 Kaiser Foundation Health Plan of The Mid-atlantic States, Inc. Clinic/Center 14139 Potomac Mills Rd, Woodbridge, VA 22192-4644 2019-12-19

Other Data Sources

Entity Type Entity Name Entity Address
Washington State Corporations KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC. 1 Kaiser Plz, Oakland, CA 94612-3610

Office Location

Street Address 1221 MERCANTILE LANE
City LARGO
State MD
Zip Code 20774-5374

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114312758 Idongesit Iheanyichukwu Attang Family Medicine 1221 Mercantile Lane, Largo, MD 20774 2015-03-31
1699960872 Cristina Frances Whalen Pharmacist 1221 Mercantile Lane, Clinical Pharmacy Department, Largo, MD 20774-0001 2007-09-11
1275664526 Marie Ann Eason Radiology 1221 Mercantile Lane, Largo, MD 20774 2007-03-08
1144360587 Shirley Anne Vanmilder Obstetrics & Gynecology 1221 Mercantile Lane, Largo, MD 20774 2007-02-07
1639219975 Rhonda A Henry Optometrist 1221 Mercantile Lane, Largo, MD 20774 2007-02-07
1124174875 Jerry Wendell Mcconnell Internal Medicine 1221 Mercantile Lane, Largo, MD 20774 2007-01-26
1942359922 Elaine Ziavras Ophthalmology 1221 Mercantile Lane, Largo, MD 20774-5374 2007-01-09
1811052889 Helayne Marsha Silver Obstetrics & Gynecology 1221 Mercantile Lane, Largo, MD 20774-5374 2006-12-27
1245390749 Howard Ian Savage Ophthalmology 1221 Mercantile Lane, Largo, MD 20774-5374 2006-12-12
1154481653 Sheryl L Clements Nurse Practitioner 1221 Mercantile Lane, Largo, MD 20774-5374 2006-12-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922637156 Marie Charlotte Teboutsou Tsodzou Nurse Practitioner 9317 Lavall Drive, Upper Marlboro, MD 20774 2020-04-08
1467093443 Richland Support Services Corp. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 11551 Joyceton Drive, Upper Marlboro, MD 20774 2019-10-01
1770134124 Alan L Kahn Counselor 301 Largo Rd., Largo, MD 20774 2019-09-26
1619522034 Francisca Ifeoma Alintah Registered Nurse 511 Dennis Magruder Dr., Upper Marlboro, MD 20774 2019-08-02
1609337146 Crystal Osuchukwu Counselor 1300 Mccormick Dr, Upper Marlboro, MD 20774 2019-03-27
1861968489 Collaborative Concepts of Maryland Counselor 1400 Mercantile Lane, Suite 208, Largo, MD 20774 2018-10-22
1073097622 Triple Angels Homecare Services, Inc. In Home Supportive Care 1210 Dixie Bowie Way, Upper Marlboro, MD 20774 2018-09-19
1922589654 Optimum Resource Services, LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 711 Harry S. Truman Dr, Unit #105, Largo, MD 20774 2018-08-21
1811475254 Kolawole Richard Olatunde Home Health Aide 11405 Villa Court, Upper Marlboro, MD 20774 2018-07-28
1548747769 Tiara Williams Counselor 15207 Harriet Clotilda Way, Upper Marlboro, MD 20774 2018-07-20
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Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy Definition

(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104398080 Quest Diagnostics Incorporated Clinical Medical Laboratory 1301 2nd Ave Sw Fl 5, Largo, FL 33770-3120 2018-12-17
1396007019 Your Health Labs LLC Clinical Medical Laboratory 1610 Belcher Rd S, #32, Largo, FL 33771-4508 2012-06-08
1831195379 Largo Surgery LLC Clinical Medical Laboratory 1401 W Bay Dr, Largo, FL 33770-2207 2005-06-21
1336499516 Healthlink Diagnostic Laboratories, Inc. Clinical Medical Laboratory 13191 Starkey Rd, Ste 15, Largo, FL 33773-1400 2012-09-14
1275774127 Baycare Ambulatory Services Clinical Medical Laboratory 8452 118th Ave, Largo, FL 33773-5007 2009-03-23
1013057090 Suncoast Internal Medicine Consultants Clinical Medical Laboratory 13644 Walsingham Rd, Largo, FL 33774-3532 2007-02-07
1154474245 Diagnostic Clinic Medical Group Inc. Clinical Medical Laboratory 1301 2nd Ave Sw, Largo, FL 33770-3120 2007-01-19
1275641417 Ultrasound Services of America, Inc Clinical Medical Laboratory 1400 Mercantile Ln, Suite 240b, Largo, MD 20774-5341 2006-08-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1619574431 Hope Health Systems Inc Clinical Medical Laboratory 1726 Whitehead Rd Ofc, Gwynn Oak, MD 21207-4003 2020-10-05
1396356846 Qualvita Diagnostics Clinical Medical Laboratory 9101 Cherry Ln Ste 213, Laurel, MD 20708-1151 2020-08-10
1467070672 Diverse Diagnostics LLC Clinical Medical Laboratory 10019 Reisterstown Rd Ste 214, Owings Mills, MD 21117-3902 2020-07-14
1669095600 Aeon Technologies, LLC Clinical Medical Laboratory 1 Technology Dr Ste 1600, Frostburg, MD 21532-2499 2020-05-26
1093336349 Personalized Medicine Care Diagnostics LLC Clinical Medical Laboratory 20271 Goldenrod Ln Fl 2, Germantown, MD 20876-4064 2020-04-28
1164058525 Parj Diagnostics LLC Clinical Medical Laboratory 10019 Reisterstown Rd Ste 211, Owings Mills, MD 21117-3902 2020-03-18
1437785896 Meta Science LLC Clinical Medical Laboratory 10019 Reisterstown Rd Ste 213, Owings Mills, MD 21117-3902 2020-03-18
1154956159 Almat Bio Solutions LLC Clinical Medical Laboratory 10019 Reisterstown Rd Ste 212, Owings Mills, MD 21117-3902 2020-03-10
1689206112 Applied Immunogenetics Laboratory Clinical Medical Laboratory 11419 Cronridge Dr Ste 17, Owings Mills, MD 21117-6283 2020-02-12
1033749296 Mprobe Inc Clinical Medical Laboratory 9600 Medical Center Dr Ste 300, Rockville, MD 20850-6329 2020-01-16
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Competitor

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City LARGO
Zip Code 20774

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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