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PARK CENTER SURGICAL CENTER LLC NPI 1558876367


NPI Information

NPI: 1558876367
Provider Name: PARK CENTER SURGICAL CENTER LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 21D2173285

Address:
14201 PARK CENTER DR STE 408
LAUREL, MD
ZIP 20707
Phone: (301) 498-0383
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PARK CENTER SURGICAL CENTER LLC is an ambulatory surgical clinic center in Laurel, MD. PARK CENTER SURGICAL CENTER LLC NPI is 1558876367. The provider is registered as an organization entity type.

The provider's business location address is:

14201 PARK CENTER DR STE 408
LAUREL, MD
ZIP 20707-251
Phone: (301) 498-0383
Fax: (240) 712-5052

The provider's authorized official is Rishi Bhatnagar .
The authorized official title is Sole Owner and has the following contact phone number (301) 498-0383.

The CLIA number assigned to this NPI record is 21D2173285 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/4/2017 and was last updated on 12/4/2017.


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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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

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