LAKEVIEW SURGERY CENTER LLC NPI 1629429410

NPI Information

NPI: 1629429410
Provider Name: LAKEVIEW SURGERY CENTER LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 21D2135313

Address:
17001 SCIENCE DR
SUITE 114
BOWIE, MD
ZIP 20715
Phone: (301) 860-1090
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LAKEVIEW SURGERY CENTER LLC is an ambulatory surgical clinic center in Bowie, MD. LAKEVIEW SURGERY CENTER LLC NPI is 1629429410. The provider is registered as an organization entity type.

The provider's business location address is:

17001 SCIENCE DR
SUITE 114
BOWIE, MD
ZIP 20715-329
Phone: (301) 860-1090

The provider's authorized official is Steven Madreperla .
The authorized official title is President And Ceo and has the following contact phone number (908) 458-8333.

The CLIA number assigned to this NPI record is 21D2135313 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/23/2016 and was last updated on 1/3/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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