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Organization
LAUREL MD ENDOSCOPY ASC LLC
Active
Organization
LAUREL MD ENDOSCOPY ASC LLC
Active
Other names
Ambulatory Endoscopy Center of Maryland
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
7350 VAN DUSEN RD, STE 230, LAUREL, MD 20707-5263
(301) 498-5500
(301) 604-5956
Mailing address
1A BURTON HILLS BLVD # L&C, NASHVILLE, TN 37215-6187
(615) 240-3820
(615) 234-1720
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1099R
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00715614
RAILROAD
MD
Enumeration date
06/16/2005
Last updated
08/24/2022
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