ADVANCED DIALYSIS CENTER LLC NPI 1508029372

NPI Information

NPI: 1508029372
Provider Name: ADVANCED DIALYSIS CENTER, LLC
Classification: Clinic/Center - 261QE0700X
Specialization: End-Stage Renal Disease (ESRD) Treatment
Entity Type: Organization
Doing Business As: ADVANCED DIALYSIS CENTER
Address: 299 HURLEY AVE
ROCKVILLE, MD
ZIP 20850
Phone: (301) 577-1007

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NPI Details

ADVANCED DIALYSIS CENTER, LLC is an end-stage renal disease (esrd) treatment clinic center in Rockville, MD. ADVANCED DIALYSIS CENTER, LLC NPI is 1508029372. The provider is registered as an organization entity type.
The provider Is Doing Business As Advanced Dialysis Center.

The provider's business location address is:

299 HURLEY AVE
ROCKVILLE, MD
ZIP 20850-118
Phone: (301) 577-1007
Fax: (301) 577-1006

The provider's authorized official is Mary Hayes Jenkins .
The authorized official title is Ceo and has the following contact phone number (202) 422-7492.

The enumeration date for this NPI number is 7/2/2008 and was last updated on 1/15/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment	E2656	MARYLAND	Yes
2	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			No

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	406877700	MEDICAID	MARYLAND

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: 3/30/2025

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