Organization · Type 2 NPI

Kaiser Foundation Health Plan of the Mid Atlantic States, Inc

Clinical Medical Laboratory · Ashburn, VA

NPI number 1750424875 Active

Practice location

43480 Yukon Drive, Suite 100
Ashburn, VA 20147-6984

Call (571) 252-6043 Map

Fax (571) 252-6044

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: 1750424875
Entity type: Organization (Type 2)
Issued: Feb 15, 2007
Last updated: Oct 10, 2025
Status: Active
Subpart: Yes of Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc

Other names

<unavail>
Ashburn Medical Center Laboratory · doing business as
Ashburn Medical Center Laboratory · doing business as

Authorized official

Colleen Swinton
Credentialing Director
(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 1750424875

Kaiser Foundation Health Plan of the Mid Atlantic States, Inc's National Provider Identifier is 1750424875, issued on Feb 15, 2007. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Ashburn, VA. The record was last updated on Oct 10, 2025.