Summit Ambulatory Surgical Center LLC
Clinic/Center, Ambulatory Surgical in Westminster, MD. Organization (NPI-2).
NPI number1114196151
StatusActive
Last updated in NPPESJan 14, 2025
Details
- NPI
- 1114196151
- Entity type
- Organization (NPI-2)
- Legal business name
- Summit Ambulatory Surgical Center LLC
- Organization subpart
- No
- Enumeration date
- Feb 25, 2008
- Certification date
- Jan 14, 2025
- Last updated
- Jan 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | – | – | Yes |
Practice location
410 Malcolm DrSuite A
Westminster, MD 21157-6160
Phone 410-876-1633
Mailing address
14201 Dallas PkwyDallas, TX 75254-2916
Phone 469-872-4706
Authorized official
Jonathan Bailey
Officer/Authorized Official
2036091168
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