Edera L3C

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

EDERA L3C

Doing business as

Edera L3C

Practice address

1730 Pennsylvania Ave NW Ste 875
Washington, DC 20006-4746

Phone

(202) 888-8404

NPI assigned

Apr 18, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Amber Owens

Title

Manager

Phone

(609) 216-2569

Specialties & licenses 1

Addresses

Other names 1

• Edera L3C Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683676800000",
    "number": "1194412585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 PENNSYLVANIA AVE NW STE 875",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200064746",
            "telephone_number": "202-888-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 PENNSYLVANIA AVE NW STE 875",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200064746",
            "telephone_number": "202-888-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDERA L3C",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "609-216-2569",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edera L3C",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sharon Beckman Edelstein, RN,CPNP
• Sol Edelstein, MD
• Eden Care LLC
• Amara Eden
• Ruth Eden
• Thomas E Edes, M.D.
• Orok Edet-Inwang
• Dorothy L Edet
• Arielle Elodie Alphonse Edge
• Deborah S Edge, M.D.

• Clinical Medical Laboratory in Washington, DC
• Providers in Washington, DC by specialty
• Clinical Medical Laboratory in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.