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Organization
SHORT PUMP CV AMBULATORY SURGERY CENTER LLC
Active
Organization
SHORT PUMP CV AMBULATORY SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES TOMLINSON KLINE IV (SENIOR VICE PRESIDENT OF OPERATIONS)
(303) 396-9391
Entity
Organization
Contact information
Practice address
4221 BON SECOURS PARKWAY, SUITE 100, HENRICO, VA 23233
(303) 396-9391
Mailing address
4140 PARKLAKE AVE STE 510, RALEIGH, NC 27612-3742
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
08/21/2026
Last updated
08/21/2026
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