Kaiser Foundation Health Plan of the Mid Atlantic States, Inc

Organization Active NPI Clinical Medical Laboratory · Gaithersburg, MD

NPI 1245512110 · NPPES record last updated Jul 24, 2025

Key facts

NPI
1245512110
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Medical Laboratory 291U00000X
Legal business name
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
Practice address
655 Watkins Mill Rd
Gaithersburg, MD 20879-3323
Phone
(301) 258-7700
Fax
(301) 816-7170
NPI assigned
Sep 15, 2011
Organization subpart
Yes
Parent organization (as reported)
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC

Authorized official

Name
Colleen Swinton
Title
Director, Credentialing
Phone
(301) 257-2797

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D0212872Kaiser Permanente - Gaithersburg Laboratory
655 Watkins Mill Road, Gaithersburg, MD 20879
AccreditationFeb 8, 2027

National Provider Directory

Tax ID family
Kaiser Found HLTH Plan (169 organizations share this tax ID)
Part of
Kaiser Found HLTH Plan

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Yes

Addresses

Primary practice location

655 Watkins Mill Rd
Gaithersburg, MD 20879-3323

Mailing address

4000 Garden City Dr
Hyattsville, MD 20785-2418
Phone (301) 816-2424

Other names

  • Gaithersburg Medical Center Laboratory Doing business as

Electronic endpoints

TypeEndpointUseAffiliation
SOAP URL https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggateways Health Information Exchange (HIE)

Other providers in Gaithersburg, MD

All providers in Gaithersburg, MD · Clinical Medical Laboratory in Maryland

Sources for this page

Verify at the official NPI Registry.