Provider Demographics
NPI:1124089529
Name:MBL ASSOCIATES INC.
Entity type:Organization
Organization Name:MBL ASSOCIATES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MUNJANJA
Authorized Official - Middle Name:YVONNE
Authorized Official - Last Name:LITELL
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, RN, BSN
Authorized Official - Phone:301-370-1095
Mailing Address - Street 1:PO BOX 258
Mailing Address - Street 2:
Mailing Address - City:BOYDS
Mailing Address - State:MD
Mailing Address - Zip Code:20841-0258
Mailing Address - Country:US
Mailing Address - Phone:301-370-1095
Mailing Address - Fax:301-340-6403
Practice Address - Street 1:14 S ADAMS ST
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-4239
Practice Address - Country:US
Practice Address - Phone:301-370-1095
Practice Address - Fax:301-340-6403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR2210251J00000X
MD0305001251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD251865OtherKAISER
MD7730692OtherAETNA PPO
MD1052247OtherAETNA HMO
MD1021073OtherUNITED HEALTH CARE (ACM)
MD7730692OtherAETNA PPO