Montgomery Renal Center LLC.

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

License

E2625 Issued in MD

Legal business name

MONTGOMERY RENAL CENTER LLC.

Practice address

12401 Middlebrook Rd
Ste 160
Germantown, MD 20874-1523

Phone

(301) 540-6020

Fax

(301) 540-6030

NPI assigned

Jun 17, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Aleister Corteling

Title

Administrator

Phone

(240) 361-0625

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306281600000",
    "number": "1902801681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12401 MIDDLEBROOK RD",
            "address_2": "STE 160",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208741523",
            "telephone_number": "301-540-6020",
            "fax_number": "301-540-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12401 MIDDLEBROOK RD",
            "address_2": "STE 160",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208741523",
            "telephone_number": "301-540-6020",
            "fax_number": "301-540-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY RENAL CENTER LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-17",
        "last_updated": "2011-05-25",
        "status": "A",
        "authorized_official_last_name": "CORTELING",
        "authorized_official_first_name": "ALEISTER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "240-361-0625",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "MD",
            "license": "E2625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400446900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Montgomery County Maryland Government (Seneca Valley School Based Wellness Center)
• Montgomery County Maryland Government
• Montgomery County Maryland Government (Seneca Valley High School School Based Wellness Center)
• Montgomery County Maryland Government
• Montgomery Family Chiropractic LLC
• Kristen Montgomery, O.D.
• Ashley Mooney
• Lashaun Morgan
• Sazia Akhter Moriom
• Andrea Lynn Morley, PSYD

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Germantown, MD
• Providers in Germantown, MD by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; 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.