21D1071658 CLIA NUMBER - WHITE MARSH SURGERY CENTER

Laboratory Demographics

CLIA Number: 21D1071658

Facility Name: WHITE MARSH SURGERY CENTER

Facility Address:
4924 CAMPBELL BLVD #250
NOTTINGHAM, MD
ZIP 21236
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Facility Phone Number: 443 442-2700

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1043466147

Taxonomy: 2084P0800X - Psychiatry & Neurology
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

CLIA Record

Field Name	Field Value
CLIA Number	21D1071658
LAB Type	Ambulatory Surgery Center
Facility Name	WHITE MARSH SURGERY CENTER
Street	4924 CAMPBELL BLVD #250
City	NOTTINGHAM
State	MD
ZIP	21236
Phone	443 442-2700
CertificateType	4
CertificateEffectiveDate	7/30/2023
CertificateExpirationDate	7/29/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024