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MOTSEN LLC NPI 1043636608


NPI Information

NPI: 1043636608
Provider Name: MOTSEN LLC

Doing Business As: BUCKLEY'S RENEWAL CENTER

Classification: Clinic/Center - 261QX0100X
Entity Type: Organization

Specialization: Occupational Medicine

CLIA Number: 21D2058137

Address:
4641 MONTGOMERY AVE STE 10
BETHESDA, MD
ZIP 20814
Phone: (301) 657-3033
Get Directions

MOTSEN LLC is an occupational medicine clinic center in Bethesda, MD. MOTSEN LLC NPI is 1043636608. The provider is registered as an organization entity type.
The provider Is Doing Business As Buckley's Renewal Center.

The provider's business location address is:

4641 MONTGOMERY AVE STE 10
BETHESDA, MD
ZIP 20814-590
Phone: (301) 657-3033
Fax: (240) 408-7887

The provider's authorized official is Thomas Musembi .
The authorized official title is General Manager and has the following contact phone number (301) 657-3033.

The CLIA number assigned to this NPI record is 21D2058137 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/6/2014 and was last updated on 11/18/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QH0100XClinic/CenterHealth ServiceNo
2261QX0100XClinic/CenterOccupational MedicineYes
3291U00000XClinical Medical Laboratory1538477971MARYLANDNo
4332B00000XDurable Medical Equipment & Medical SuppliesNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11518028984OTHERNPI DR. KARM
21326574799MEDICAIDMARYLAND
31518028984MEDICAIDMARYLAND
41588190813MEDICAIDMARYLAND
51306092135OTHERNPI- DR. MCCALL
61306092135MEDICAIDMARYLAND
71326574799OTHERNPI-DR TEAGUE
81588190813OTHERNPI-DR. AJOSE
91932455300OTHERNPI DR. BEY
101932455300MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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