Healthcare Provider Details

I. General information

NPI: 1043269558
Provider Name (Legal Business Name): DHC OF WASHINGTON, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2006
Last Update Date: 03/08/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 SEVEN LOCKS RD SUITE 100
ROCKVILLE MD
20854-2931
US

IV. Provider business mailing address

22 INVERNESS CENTER PKWY SUITE 425
BIRMINGHAM AL
35242-4814
US

V. Phone/Fax

Practice location:
  • Phone: 301-424-1781
  • Fax: 301-424-9020
Mailing address:
  • Phone: 205-981-4814
  • Fax: 205-994-7021

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code293D00000X
TaxonomyPhysiological Laboratory
License Number
License Number State

VIII. Authorized Official

Name: MISS DONNA L BURCH
Title or Position: CREDENTIALING SPECIALIST
Credential:
Phone: 205-981-4814