Healthcare Provider Details

I. General information

NPI: 1659285161
Provider Name (Legal Business Name): PRESTIGE HEALTHCARE RESOURCES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1525 MARION BARRY AVE SE
WASHINGTON DC
20020-5634
US

IV. Provider business mailing address

1525 MARION BARRY AVE SE
WASHINGTON DC
20020-5634
US

V. Phone/Fax

Practice location:
  • Phone: 202-796-5000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number StateNULL

VIII. Authorized Official

Name: MUSTAFA MORRIS
Title or Position: MANAGER
Credential:
Phone: 404-754-6915