NPIMap

Kaiser Foundation Health Plan of the Mid Atlantic States, Inc

Organization Active NPI Clinical Medical Laboratory · Rockville, MD

NPI 1699897629 · NPPES record last updated Jul 25, 2025

Key facts

NPI
1699897629
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
6111 Executive Blvd
Rockville, MD 20852-3911
Phone
(301) 255-4000
Fax
(301) 816-7170
NPI assigned
Apr 3, 2007
Organization subpart
Yes
Parent organization (as reported)
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC

Authorized official

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

Other NPIs with the same Medicare PAC ID 16

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 1,921

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 1,921

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
21D1057292Kaiser Permanente Rockville Regional Lab
6111 Executive Blvd, Rockville, MD 20852		AccreditationAug 22, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in DC

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20140225000148 DC Part B Supplier - Independent Clinical Laboratory 3779495858 Practice locations: Rockville, MD

National Provider Directory

Part of
Kaiser Found HLTH Plan

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Yes

Addresses

Primary practice location

6111 Executive Blvd
Rockville, MD 20852-3911

Mailing address

4000 Garden City Dr
Hyattsville, MD 20785-2418
Phone (301) 257-2797

Other names

  • Rockville Regional Laboratory Doing business as

Electronic endpoints

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

Other providers in Rockville, MD

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

Sources for this page

Verify at the official NPI Registry.