MEDIVANCE SUPPLY LLC
NPI 1548174154
Clinical Medical Laboratory in Waldorf, MD
About Medivance Supply Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEDIVANCE SUPPLY LLC (NPI 1548174154) is a healthcare organization registered as a clinical medical laboratory in Waldorf, Maryland and active in the NPI registry since September 2026. The organization lists Imran Kashif, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Medivance Supply LLC's NPI number?
The NPI number for Medivance Supply LLC is 1548174154. It was assigned to this organization in the NPPES registry on September 30, 2026.
Where is Medivance Supply LLC located?
Medivance Supply LLC is located at 2009 Saint Thomas Dr Apt 208, Waldorf, MD 20602. The listed phone number is (835) 658-9321.
What is Medivance Supply LLC's specialty?
The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.
When was this NPI record last updated?
The NPPES record for Medivance Supply LLC was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.