OrganizationActive
Advanced Dialysis Center
NPI 1295828051 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Randallstown, MD
Provider details
- NPI number
- 1295828051
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Minessia Pearson, Cfo
- License
- E2642R (MD)
Practice location
9101 Liberty Rd
Randallstown, MD 21133-3521
Phone: (410) 496-0077
Fax: (410) 496-6677
Mailing address
9320 Annapolis Rd
Lanham, MD 20706-3100
Registry dates
- Enumerated
- 2006-10-02
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.