NPIMap

Organization Active NPI

Mountain, Valley and Shore Mobile Immunization Services, LLC

  • Public Health or Welfare Agency
  • Laurel, MD
National Provider Identifier
1528258209
Registry record updated Jul 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
RN1008461 Issued in DC
Legal business name
MOUNTAIN, VALLEY AND SHORE MOBILE IMMUNIZATION SERVICES, LLC
Doing business as
MVAS-MIS, LLC
Practice address
11600 Basswood Dr
Laurel, MD 20708-3170
Phone
(301) 490-8236
Fax
(124) 055-4258
NPI assigned
Jul 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2007

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

Authorized official

Name
Ms. Darlia Melvina McPherson, RN
Title
Owner/Ceo
Phone
(301) 490-8236

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X RN1008461 DC Primary

Addresses

Primary practice location

11600 Basswood Dr
Laurel, MD 20708-3170

Mailing address

11600 Basswood Dr
Laurel, MD 20708-3170
Phone (301) 490-8236

Other names 1

  • MVAS-MIS, LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185494400000",
    "number": "1528258209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11600 BASSWOOD DR",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207083170",
            "telephone_number": "301-490-8236",
            "fax_number": "124-055-4258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 BASSWOOD DR",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207083170",
            "telephone_number": "301-490-8236",
            "fax_number": "124-055-4258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN, VALLEY AND SHORE MOBILE IMMUNIZATION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2007-07-27",
        "status": "A",
        "authorized_official_last_name": "MCPHERSON",
        "authorized_official_first_name": "DARLIA",
        "authorized_official_middle_name": "MELVINA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "301-490-8236",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "DC",
            "license": "RN1008461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MVAS-MIS, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2007; 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.