KAISER FOUNDATION HEALTH PLAN MID ATLANTIC STATES

FAIRFAX, VA
NPI1568520070
Doing Business AsPENDERBROOK MEDICAL CENTER LABORATORY
Entity TypeOrganization
Authorized ContactANDEE G PETERSEN
Cheif Financial Officer
301-816-5760
Organization Subpart ?No
Primary Taxonomy207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
Enumeration Date2006-12-05
Last Update Date2021-05-27
Business Address
KAISER FOUNDATION HEALTH PLAN MID ATLANTIC STATES
12011 LEE JACKSON HIGHWAY
FAIRFAX, VA 22033-3310
Phone number: 703-257-3050
Mailing Address
KAISER FOUNDATION HEALTH PLAN MID ATLANTIC STATES
2101 E JEFFERSON STREET 3 WEST KAISER PERMANENTE DATA MANAGEMENT DEPARTMENT
ROCKVILLE, MD 20852-4908
Phone number: 301-816-7446