Organization
ASC DEVELOPMENT COMPANY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANEKA TINCH (RCM MANAGER)
(469) 458-9222
Entity
Organization
Contact information
Practice address
16900 SCIENCE DRIVE, SUITE 100, BOWIE, MD 20715
(301) 464-7008
(301) 464-7011
Mailing address
PO BOX 931606, ATLANTA, GA 31193-1606
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
92125201
BLUE CROSS
MD
01
—
AB9
BLUE CROSS REGIONAL PLAN
MD
01
—
P00381350
RAILROAD MEDICARE
MD
Enumeration date
09/03/2008
Last updated
12/08/2025
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