Organization · Type 2 NPI

Kaiser Foundation Health Plan of the Mid Atlantic States, Inc

Clinical Medical Laboratory · Alexandria, VA

NPI number 1376004457 Active

Practice location

3000 Potomac Ave
Alexandria, VA 22305-3084

Call (703) 721-6340 Map

Fax (703) 721-6342

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…

8 other providers at this address

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NPI record

NPI: 1376004457
Entity type: Organization (Type 2)
Issued: Mar 29, 2019
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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Alexandria Medical Center Laboratory · doing business as
Alexandria Medical Center Laboratory · doing business as

Authorized official

Colleen Swinton
Director, Credentialing
(301) 257-2797

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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 1376004457

Kaiser Foundation Health Plan of the Mid Atlantic States, Inc's National Provider Identifier is 1376004457, issued on Mar 29, 2019. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Alexandria, VA. The record was last updated on Jul 24, 2025.