MADELIENE ELAINE LLC NPI 1255910063

NPI Information

  • NPI: 1255910063
  • Provider Name: MADELIENE ELAINE, LLC
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • CLIA Number: 21D2221431
  • Address: 5530 WISCONSIN AVE STE 612
    CHEVY CHASE, MD
    ZIP 20815
  • Phone: (412) 638-8585

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NPI Details

MADELIENE ELAINE, LLC is a medical specialty clinic center in Chevy Chase, MD. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). MADELIENE ELAINE, LLC NPI is 1255910063. The provider is registered as an organization entity type.

The provider's business location address is:

5530 WISCONSIN AVE STE 612
CHEVY CHASE, MD
ZIP 20815-430
Phone: (412) 638-8585

The provider's authorized official is Madeliene Gainers .
The authorized official title is Owner and has the following contact phone number (412) 638-8585.

The CLIA number assigned to this NPI record is 21D2221431 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/7/2021 and was last updated on 4/7/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2500XClinic/CenterMedical SpecialtyYes

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: 11/21/2025

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