Medivance Supply LLC
Medivance Supply LLC is a Clinical Medical Laboratory in Waldorf, Maryland. Registered with an NPI since 2026.
- In the registry since
- 2026
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2009 Saint Thomas Dr Apt 208Waldorf, MD 20602-2175
Phone: (835) 658-9321
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Medical Laboratory (primary) | Taxonomy 291U00000X |
|---|
Record details
| NPI number | 1548174154 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Imran Kashif — Ceo · (835) 658-9321 |
| NPI enumerated | September 30, 2026 |
| Last updated in NPPES | September 30, 2026 |
| Certification date | September 30, 2026 |
| Mailing address | 2009 Saint Thomas Dr Apt 208, Waldorf, MD 20602-2175 |
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