MARYLAND DIAGNOSTIC AND THERAPEUTIC ENDO CENTER LLC NPI 1083855092

NPI Information

NPI: 1083855092
Provider Name: MARYLAND DIAGNOSTIC AND THERAPEUTIC ENDO CENTER, LLC
Classification: Clinic/Center - 261QE0800X
Entity Type: Organization

Specialization: Endoscopy

CLIA Number: 21D2005132

Address:
621 RIDGELY AVE
SUITE 105
ANNAPOLIS, MD
ZIP 21401
Phone: (410) 224-3636
Get Directions

MARYLAND DIAGNOSTIC AND THERAPEUTIC ENDO CENTER, LLC is an endoscopy clinic center in Annapolis, MD. MARYLAND DIAGNOSTIC AND THERAPEUTIC ENDO CENTER, LLC NPI is 1083855092. The provider is registered as an organization entity type.

The provider's business location address is:

621 RIDGELY AVE
SUITE 105
ANNAPOLIS, MD
ZIP 21401-081
Phone: (410) 224-3636
Fax: (410) 224-6971

The provider's authorized official is Michael S. Epstein .
The authorized official title is President and has the following contact phone number (410) 266-1588.

The CLIA number assigned to this NPI record is 21D2005132 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/20/2009 and was last updated on 2/19/2015.

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	261QE0800X	Clinic/Center	Endoscopy			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	180578	MEDICARE PIN	MARYLAND

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: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »