Adr Llc

LBN: Adr Llc
Adr Llc is an health care organization with primary practice located at 952 Seton Dr , Cumberland MD 21502-1950. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Adr Llc can be contacted via phone (301) 777-3522, or through Kim, Jong K via phone (301) 724-1646.

Contact Information

Primary practice address
952 Seton Dr Cumberland MD 21502-1950
Phone: (301) 777-3522
Fax: (301) 777-1902
Website:
Map and Directions
Authorized official contact:
Name: Kim, Jong K Doctor of Medicine (MD)
Phone: (301) 724-1646

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1982607933
LBN Legal business name Adr Llc
DBA Doing business as
Authorized official Kim, Jong K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2005
Last updated Aug 16th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982607933 NPPES
West Virginia Other 001586989 MT ST BS
West Virginia MEDICAID 403741300 MT ST BS
West Virginia Other J249 MT ST BS
West Virginia MEDICAID 0201927000 MT ST BS
West Virginia Other 216A MT ST BS
West Virginia Other DA5555 MT ST BS

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