KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
NPI 1902971849
Clinical Medical Laboratory in Rockville, MD

Active since November 22, 2006
1396 PICCARD DRIVE, ROCKVILLE, MD 20850(301) 548-5700(301) 572-3221 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 10, 2025, May 27, 2021 (2 updates tracked since 2021).

About Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC (NPI 1902971849), doing business as Shady Grove Medical Laboratory, is a healthcare organization registered as a clinical medical laboratory in Rockville, Maryland and active in the NPI registry since November 2006. The organization lists Colleen Swinton, Credentialing Director, as its authorized official.

NPPES Registry Identity

NPI1902971849
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameKAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
Location Address1396 PICCARD DRIVERockville, MD 20850-4302
Mailing Address4000 Garden City DrHyattsville, MD 20785-2418 · (301) 816-2424
Fax(301) 572-3221
Organization SubpartYesParent: Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc
Authorized OfficialColleen SwintonCredentialing Director · (301) 257-2797
Enumeration DateNovember 22, 2006
Last NPPES UpdateOctober 10, 20252 updates tracked since enumeration
NPPES CertifiedOctober 10, 2025
NPI 1902971849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
1396 PICCARD DRIVE, Rockville, MD 20850

Other Names 1

Doing Business AsShady Grove Medical Laboratory

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
1396 PICCARD DRIVE
ROCKVILLE, MD 20850
Family Medicine
1396 PICCARD DRIVE
ROCKVILLE, MD 20850
Family Medicine
1396 PICCARD DRIVE
ROCKVILLE, MD 20850
Family Medicine
1396 PICCARD DRIVE
ROCKVILLE, MD 20850
Pharmacy (Managed Care Organization Pharmacy)
1396 PICCARD DRIVE
ROCKVILLE, MD 20850

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 Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc's NPI number?

The NPI number for Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc is 1902971849. It was assigned to this organization in the NPPES registry on November 22, 2006. The provider is doing business as Shady Grove Medical Laboratory.

Where is Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc located?

Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc is located at 1396 Piccard Drive, Rockville, MD 20850. The listed phone number is (301) 548-5700.

What is Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc'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 Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc was last updated on October 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.