Provider Demographics
NPI:1891036380
Name:PEDS EXPRESS INC.
Entity Type:Organization
Organization Name:PEDS EXPRESS INC.
Other - Org Name:PEDS EXPRESS INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NITIN
Authorized Official - Middle Name:M
Authorized Official - Last Name:CHOPDE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-776-9000
Mailing Address - Street 1:13976 LAUREL LAKES AVENUE
Mailing Address - Street 2:UNIT 8-E
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707
Mailing Address - Country:US
Mailing Address - Phone:301-776-9000
Mailing Address - Fax:
Practice Address - Street 1:13976 LAUREL LAKES AVENUE
Practice Address - Street 2:UNIT 8-E
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707
Practice Address - Country:US
Practice Address - Phone:301-776-9000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-07
Last Update Date:2013-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care