CAMP SPRING MEDICAL CENTER LABORATORY
NPI 1750456695
Clinical Medical Laboratory in Temple Hills, MD

NPI Status: Active since November 22, 2006

Contact Information

6104 OLD BRANCH AVENUE
TEMPLE HILLS, MD
ZIP 20748
Phone: (301) 702-6172
Fax: (301) 702-6117

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  • Organization
  • Clinical Medical Laboratory

About CAMP SPRING MEDICAL CENTER LABORATORY

This page provides the complete NPI Profile along with additional information for Camp Spring Medical Center Laboratory, a provider established in Temple Hills, Maryland operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1750456695 assigned on November 2006. The practitioner's primary taxonomy code is 291U00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Camp Spring Medical Center Laboratory. The authorized official of this NPI record is Deanne G Petersen (Chief Financial Officer)

NPI
1750456695
Provider Legal Name
KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC.
Other Organization Name
CAMP SPRING MEDICAL CENTER LABORATORY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
6104 OLD BRANCH AVENUE TEMPLE HILLS, MD 20748
Location Phone
(301) 702-6172
Location Fax
(301) 702-6117
Mailing Address
2101 E JEFFERSON STREET 3 WEST KAISER PERMANENTE DATA MGMT DEPT ATTN SANJAY MATHUR ROCKVILLE, MD 20852
Mailing Phone
(301) 816-7446
Mailing Fax
(301) 702-6117
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-22-2006
Last Update Date
05-27-2021
Code Navigator

Establishments like Camp Spring Medical Center Laboratory are healthcare facilities that may perform a wide range of laboratory procedures, assisted by doctors and medical technologists. Laboratories can be categorized according to their function as common diagnostic labs or specialty labs that conduct specialized or confirmatory tests. Different clinical laboratories could specialize in clinical chemistry, clinical microbiology, hematology, serology, clinical microscopy, cytopathology, molecular biology, or public health. Please inquire directly with this provider to confirm their test menu.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinical Medical Laboratory

Taxonomy Code
291U00000X
Type
Laboratories
Taxonomy Description
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DEANNE G PETERSEN

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(301) 816-5760

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750456695
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271008512618
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 8 + 5 + 1 + 2 + 6 + 1 + 8 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1750456695 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1306919519DR. SHARADA JAIN MD
Individual
Family Medicine6104 OLD BRANCH AVENUE
TEMPLE HILLS, MD 20748
(301) 702-6100
1023184215DR. CHINYERE WOGU DIKE MD
Individual
Optometrist (Pediatrics)6104 OLD BRANCH AVENUE
TEMPLE HILLS, MD 20748
(301) 702-6100
1629136528MR. CLIFFORD WILLIAMS PA C
Individual
Physician Assistant6104 OLD BRANCH AVENUE
TEMPLE HILLS, MD 20748
(301) 702-6100
1396805859DR. SUCHITRA M BALAKRISHNAN MD
Individual
Family Medicine6104 OLD BRANCH AVENUE
TEMPLE HILLS, MD 20748
(301) 702-6100
1225194210DR. REGINALD M WALLEN M.D.
Individual
Family Medicine6104 OLD BRANCH AVENUE KAISER PERMANENTE, PPQA, 6 WEST, ATTN THERESA BROOKS
TEMPLE HILLS, MD 20748
(301) 702-6100
1558417287DR. ZAFAR HUSAIN M.D.
Individual
Pediatrics6104 OLD BRANCH AVENUE
TEMPLE HILLS, MD 20748
(301) 702-6100
1760529028DR. EUNICE SHAKIR M.D.
Individual
Family Medicine6104 OLD BRANCH AVENUE
TEMPLE HILLS, MD 20748
(301) 702-6100
1982745097DR. RENUKA TIRUPASUR MATHUR M.D.
Individual
Family Medicine6104 OLD BRANCH AVENUE
TEMPLE HILLS, MD 20748
(301) 702-6100
1841329943DR. FANNIE BROWN M.D.
Individual
Pediatrics6104 OLD BRANCH AVENUE
TEMPLE HILLS, MD 20748
(301) 702-6100
1184755431DR. AISHA PETERSON JOHNSON M.D.
Individual
Family Medicine6104 OLD BRANCH AVENUE
TEMPLE HILLS, MD 20748
(301) 702-6100
1275606568DR. ANDREA KARIN PROSSER MD
Individual
Pediatrics6104 OLD BRANCH AVENUE
TEMPLE HILLS, MD 20748
(301) 702-6100
1699841577KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES,INC
Organization
Pharmacy (Managed Care Organization Pharmacy)6104 OLD BRANCH AVENUE
TEMPLE HILLS, MD 20748
(301) 702-6175
1023195518DR. JENNY ANNE JOHN MD
Individual
Internal Medicine6104 OLD BRANCH AVENUE
TEMPLE HILLS, MD 20748
(301) 702-6100
1922176833DR. PAMELA H REID OD
Individual
Optometrist6104 OLD BRANCH AVENUE
TEMPLE HILLS, MD 20748
(301) 702-6100
1326111667DR. WENDY ANN J HUTCHESON MD
Individual
Family Medicine6104 OLD BRANCH AVENUE
TEMPLE HILLS, MD 20748
(301) 702-6100
1811051972MS. MANYAHLISHAL TELAHUN CRNP
Individual
Nurse Practitioner (Family)6104 OLD BRANCH AVENUE
TEMPLE HILLS, MD 20748
(301) 702-6100
1124189659DR. THU BICH NGUYEN MD
Individual
Internal Medicine6104 OLD BRANCH AVENUE
TEMPLE HILLS, MD 20748
(301) 702-6100
1629135553DR. ANTHONY D SHEPHERD MD
Individual
Family Medicine6104 OLD BRANCH AVENUE
TEMPLE HILLS, MD 20748
(301) 702-6100
1710048160DR. JOHN J LEE MD
Individual
Internal Medicine6104 OLD BRANCH AVENUE
TEMPLE HILLS, MD 20748
(301) 702-6100

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750456695, enumerated in the NPI registry as an "organization" on November 22, 2006

The provider is located at 6104 Old Branch Avenue Temple Hills, Md 20748 and the phone number is (301) 702-6172

This medical organization specializes in Clinical Medical Laboratory with taxonomy code 291U00000X

This NPI record was last updated on November 22, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.