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AMBULATORY SURGERY CENTER OF BETHESDA LLC NPI 1407947112


NPI Information

NPI: 1407947112
Provider Name: AMBULATORY SURGERY CENTER OF BETHESDA, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 21D2141878

Address:
11210 OLD GEORGETOWN RD
NORTH BETHESDA, MD
ZIP 20852
Phone: (301) 984-8600
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AMBULATORY SURGERY CENTER OF BETHESDA, LLC is an ambulatory surgical clinic center in North Bethesda, MD. AMBULATORY SURGERY CENTER OF BETHESDA, LLC NPI is 1407947112. The provider is registered as an organization entity type.

The provider's business location address is:

11210 OLD GEORGETOWN RD
NORTH BETHESDA, MD
ZIP 20852-202
Phone: (301) 984-8600
Fax: (301) 984-8601

The provider's authorized official is Roger J Friedman .
The authorized official title is Medical Director and has the following contact phone number (301) 984-8600.

The CLIA number assigned to this NPI record is 21D2141878 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/27/2006 and was last updated on 8/22/2020.


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 SurgicalA1371MARYLANDYes

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: 11/14/2023

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