OrganizationActive
Advanced Dialysis Center, LLC
NPI 1699861922 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Easton, MD
Provider details
- NPI number
- 1699861922
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Minessia Pearson, Chief Financial Officer
- License
- E2642R (MD)
Practice location
610 Dutchmans Lane
Easton, MD 21601
Phone: (410) 820-9873
Fax: (410) 820-9875
Mailing address
9320 Annapolis Rd
Lanham, MD 20706
Registry dates
- Enumerated
- 2006-10-05
- Last updated
- 2024-09-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.