Provider Demographics
NPI:1548894314
Name:ISINC HEALTHCARE SERVICES
Entity type:Organization
Organization Name:ISINC HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:AKINLEYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-446-6861
Mailing Address - Street 1:229 WASHINGTON BLVD S
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-4615
Mailing Address - Country:US
Mailing Address - Phone:240-294-4099
Mailing Address - Fax:
Practice Address - Street 1:229 WASHINGTON BLVD S
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-4615
Practice Address - Country:US
Practice Address - Phone:240-294-4099
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-02
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service