Healthcare Provider Details

I. General information

NPI: 1699614156
Provider Name (Legal Business Name): FENOTE TRAINING ACADEMY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8115 FENTON ST STE 203
SILVER SPRING MD
20910-6701
US

IV. Provider business mailing address

8115 FENTON ST STE 203
SILVER SPRING MD
20910-6701
US

V. Phone/Fax

Practice location:
  • Phone: 310-988-0673
  • Fax:
Mailing address:
  • Phone: 310-988-0673
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. MELESSE SEMEGNE
Title or Position: PRESIDENT AND LABORATORY DIRECTOR
Credential: PHD, MLS
Phone: 310-988-0673