OrganizationActive
Northside Medical Services Corporation
NPI 1407187495 · Contractor · Washington, DC
Provider details
- NPI number
- 1407187495
- Entity type
- Organization
- Primary specialty
- ContractorOther Service Providers
- Organization subpart
- No
- Authorized official
- Ralph Turner, Cheif Consulting Officer(202) 388-6000
- License
- MD 25334 (DC)
Specialties & taxonomies
Other Service Providers
Practice location
4121 Minnesota Ave Ne
Washington, DC 20019-3572
Phone: (202) 388-6000
Fax: (202) 388-6001
Approximate (ZIP-level) locationGet directions
Mailing address
4121 Minnesota Ave Ne
Washington, DC 20019-3572
Registry dates
- Enumerated
- 2010-01-15
- Last updated
- 2010-01-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.