Healthcare Provider Details

I. General information

NPI: 1023604154
Provider Name (Legal Business Name): METROPOLITAN ASSESSMENT AND RENEWAL CENTERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2020
Last Update Date: 12/13/2020
Certification Date: 12/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3326 GEORGIA AVE NW
WASHINGTON DC
20010-2562
US

IV. Provider business mailing address

3326 GEORGIA AVE NW
WASHINGTON DC
20010-2562
US

V. Phone/Fax

Practice location:
  • Phone: 202-722-0122
  • Fax: 202-722-0123
Mailing address:
  • Phone: 202-722-0122
  • Fax: 202-722-0123

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code246YC3302X
TaxonomyPhysician Office Based Coding Specialist
License Number
License Number State

VIII. Authorized Official

Name: ANGELA YANCEY
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 202-722-0122