Provider Demographics
NPI:1790595262
Name:FEDERAL INJURY CLINICS LLC
Entity type:Organization
Organization Name:FEDERAL INJURY CLINICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:VANDEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-455-1348
Mailing Address - Street 1:909 WINHALL WAY
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-2075
Mailing Address - Country:US
Mailing Address - Phone:240-863-2822
Mailing Address - Fax:
Practice Address - Street 1:8713 GREENBELT RD STE 201
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-2481
Practice Address - Country:US
Practice Address - Phone:240-863-2822
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-08
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty