Organization
ROANOKE AMBULATORY SURGERY CENTER, LLC
Active
Other names
Roanoke Ambulatory Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS K MILLER M.D. (MEDICAL DIRECTOR)
(540) 342-0707
Entity
Organization
Contact information
Practice address
1102 S JEFFERSON ST, ROANOKE, VA 24016-4704
(540) 342-5800
Mailing address
1102 S JEFFERSON ST, ROANOKE, VA 24016-4704
(540) 342-5800
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
OH636
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010053919
—
VA
01
—
125459800
DEPARTMENT OF LABOR ID NU
VA
Enumeration date
07/06/2005
Last updated
04/08/2025
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