Potomac Labs LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

POTOMAC LABS LLC

Practice address

130 Thomas Johnson Dr
Ste 6
Frederick, MD 21702-4419

Phone

(732) 485-9996

Fax

(732) 907-1897

NPI assigned

Nov 10, 2010

Organization subpart

No

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

Authorized official

Name

Muhammad A Khan, MD

Title

Ceo

Phone

(732) 485-9996

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289347200000",
    "number": "1861793614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 THOMAS JOHNSON DR",
            "address_2": "STE 6",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024419",
            "telephone_number": "732-485-9996",
            "fax_number": "732-907-1897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 THOMAS JOHNSON DR",
            "address_2": "STE 6",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024419",
            "telephone_number": "732-485-9996",
            "fax_number": "732-907-1897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTOMAC LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-10",
        "last_updated": "2010-11-10",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-485-9996",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Potomac Case Management Services
• Potomac Case Management Services, Inc.
• Potomac Healthcare Alliance
• Potomac Healthcare Alliance LLC
• Potomac Institute of Pain Management and Palliative Care Services
• Potomac Medical Equipment
• Potomac Medical LLC
• Potomac Spine, LLC
• Potomac Toxicology Laboratories Inc
• Potomac Wound Care Specialists

• Durable Medical Equipment & Medical Supplies in Frederick, MD
• Providers in Frederick, MD by specialty
• Durable Medical Equipment & Medical Supplies in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; 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.