Organization · Type 2 NPI
Mivc Asc, LLC
Ambulatory Surgical Clinic/Center · Laurel, MD
NPI number
1174074538
Active
Practice location
9201 Cherry Lane
Laurel, MD 20707
Mailing address
8730 Cherry Ln, Suite 10
Laurel, MD 20707-6212
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
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About NPI 1174074538
Mivc Asc, LLC's National Provider Identifier is 1174074538, issued on Oct 20, 2016. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Laurel, MD. The record was last updated on Nov 2, 2016.