NPI Details
KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC is a clinical medical laboratory in Ashburn, VA. The provider is (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 determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC NPI is 1750424875. The provider is registered as an organization entity type.
The provider Is Doing Business As Ashburn Medical Center Laboratory.
The provider's business location address is:
43480 YUKON DRIVE
SUITE 100
ASHBURN, VA
ZIP 20147-984
Phone: (571) 252-6043
Fax: (571) 252-6044
The provider's authorized official is Deanne G Petersen .
The authorized official title is Chief Financial Officer and has the following contact phone number (301) 816-5760.
The enumeration date for this NPI number is 2/15/2007 and was last updated on 5/27/2021.
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 |
1 | 291U00000X | Clinical Medical Laboratory | | | | Yes |