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MD LASER SURGERY CENTER LLC NPI 1346581105


NPI Information

NPI: 1346581105
Provider Name: MD LASER SURGERY CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
7120 MINSTREL WAY
SUITE 103
COLUMBIA, MD
ZIP 21045
Phone: (410) 312-5248
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MD LASER SURGERY CENTER, LLC is an ambulatory surgical clinic center in Columbia, MD. MD LASER SURGERY CENTER, LLC NPI is 1346581105. The provider is registered as an organization entity type.

The provider's business location address is:

7120 MINSTREL WAY
SUITE 103
COLUMBIA, MD
ZIP 21045-248
Phone: (410) 312-5248
Fax: (443) 283-0399

The provider's authorized official is Clement S Banda .
The authorized official title is Medical Director and has the following contact phone number (443) 283-0600.

The enumeration date for this NPI number is 3/4/2013 and was last updated on 2/16/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory SurgicalA1546MARYLANDYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A1546OTHERMARYLANDSTATE LICENSE
2549651OTHERJOINT COMMISSION ACCR. ORG. ID

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

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