Healthcare Provider Details

I. General information

NPI: 1689372682
Provider Name (Legal Business Name): NATIONAL MED TRAINING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2023
Last Update Date: 02/20/2023
Certification Date: 02/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2723 THE ALAMEDA
BALTIMORE MD
21218-4921
US

IV. Provider business mailing address

1001 S MAIN ST # 49
KALISPELL MT
59901-5635
US

V. Phone/Fax

Practice location:
  • Phone: 202-361-5768
  • Fax:
Mailing address:
  • Phone: 410-888-4014
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. CRYSTAL PARSLEY
Title or Position: PROGRAM MANAGER
Credential: CPI, CPT, CIT
Phone: 410-888-4014