Organization
ADVANCED SURGERY CENTER,LLC
Active
Organization
ADVANCED SURGERY CENTER,LLC
Active
Parent organization
ADVANCED SURGERY CENTER, LLC
Other names
Advanced Surgery Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVANCED SURGERY CENTER, LLC
Authorized official
MR. ROBERT CLAY LACAVA (CLINICAL ADMINISTRATOR)
(301) 838-0437
Entity
Organization
Contact information
Practice address
10110 MOLECULAR DRIVE, SUITE 100, ROCKVILLE, MD 20850
(301) 838-0437
(301) 838-0439
Mailing address
10110 MOLECULAR DRIVE, SUITE 100, ROCKVILLE, MD 20850
(301) 838-0437
(301) 838-0439
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
A1400
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405873900
—
MD
Enumeration date
05/22/2006
Last updated
08/19/2015
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