Advanced Surgery Center,llc
Clinic/Center, Endoscopy in Rockville, MD. Organization (NPI-2).
NPI number1669426706
StatusActive
Last updated in NPPESAug 19, 2015
Details
- NPI
- 1669426706
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Surgery Center,llc
- Organization subpart
- Yes
- Enumeration date
- May 22, 2006
- Last updated
- Aug 19, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0800X | Clinic/Center, Endoscopy | A1400 | MD | Yes |
Other names
- Advanced Surgery Center (Doing Business As)
Practice location
10110 Molecular DriveSuite 100
Rockville, MD 20850
Phone 301-838-0437 · Fax 301-838-0439
Mailing address
10110 Molecular DriveSuite 100
Rockville, MD 20850
Phone 301-838-0437 · Fax 301-838-0439
Authorized official
Robert Clay Lacava
Clinical Administrator
3018380437
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