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
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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 number | Laboratory | Certificate | Expires |
| 21D0212872 | Kaiser Permanente - Gaithersburg Laboratory 655 Watkins Mill Road, Gaithersburg, MD 20879 | Accreditation | Feb 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) | Code | License | State | Primary |
| 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
| Type | Endpoint | Use | Affiliation |
| SOAP URL |
https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggateways |
Health Information Exchange (HIE) |
|
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.
Verify at the official NPI Registry.