Organization · Type 2 NPI

Kaiser Foundation Health Plan of the Mid Atlantic States, Inc

Clinical Medical Laboratory · Pasadena, MD

NPI number 1013082957 Active

Practice location

8028 Richie Highway
Pasadena, MD 21222-1030

Call (410) 553-2404 Map

Fax (410) 553-2411

Mailing address

4000 Garden City Dr
Hyattsville, MD 20785-2418

Specialties and licenses

Taxonomy	Code	License
Clinical Medical Laboratory Primary	291U00000X	None listed

Clinical Medical Laboratory: (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 det…

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NPI record

NPI: 1013082957
Entity type: Organization (Type 2)
Issued: Nov 22, 2006
Last updated: Jul 24, 2025
Status: Active
Subpart: Yes of Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc

Other names

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Severna Park Medical Center Laboratory · doing business as
Severna Park Medical Center Laboratory · doing business as

Authorized official

Colleen Swinton
Director, Credentialing
(301) 257-2797

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1013082957

Kaiser Foundation Health Plan of the Mid Atlantic States, Inc's National Provider Identifier is 1013082957, issued on Nov 22, 2006. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Pasadena, MD. The record was last updated on Jul 24, 2025.