JOHNS HOPKINS SURGERY CENTERS SERIES
NPI 1053039883
Clinic/Center - Ambulatory Surgical in Lutherville, MD

Active since August 18, 2022CLIA Certified · 2 labs
10755 FALLS ROAD, PAVILION I, SUITE 480, LUTHERVILLE, MD 21093(410) 616-7250(410) 616-7251 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 27, 2025, Aug 18, 2022 (2 updates tracked since 2022).

  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 21D0964265
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 08-18-2027

About JOHNS HOPKINS SURGERY CENTERS SERIES

This page provides the complete NPI Profile along with additional information for Johns Hopkins Surgery Centers Series, a provider established in Lutherville, Maryland operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1053039883 assigned on August 2022. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Lisa Ishii Md (Senior Vice President Of Operations)

NPI
1053039883 Verify this NPI
Provider Name
JOHNS HOPKINS SURGERY CENTERS SERIES
Other Name Type
(6)
Entity Type
Organization
Location Address
10755 FALLS ROAD PAVILION I, SUITE 480 LUTHERVILLE, MD 21093
Location Phone
(410) 616-7250
Location Fax
(410) 616-7251
Mailing Address
10803 FALLS ROAD PAVILION 3, SUITE 2500 LUTHERVILLE, MD 21093
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-18-2022
Last Update Date
05-27-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LISA ISHII MD

Authorized Official Title
SENIOR VICE PRESIDENT OF OPERATIONS
Authorized Official Phone
(410) 583-7185

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
21D0964265
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
August 19, 2025
Certificate Expiration Date
August 18, 2027
Laboratory Director
HENRY JAMPEL MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Johns Hopkins Surgery Centers Series to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Pediatrics
10755 FALLS ROAD, SUITE 260
LUTHERVILLE, MD 21093
Pediatrics
10755 FALLS ROAD, SUITE 260
LUTHERVILLE, MD 21093
Pediatrics
10755 FALLS ROAD, SUITE 260
LUTHERVILLE, MD 21093
Pediatrics
10755 FALLS ROAD, SUITE 260
LUTHERVILLE, MD 21093
Pediatrics
10755 FALLS ROAD, SUITE 260
LUTHERVILLE, MD 21093
Dietitian, Registered
10755 FALLS ROAD
LUTHERVILLE, MD 21093
Pediatrics
10755 FALLS ROAD, SUITE 260
LUTHERVILLE, MD 21093
Pediatrics
10755 FALLS ROAD, SUITE 260
LUTHERVILLE, MD 21093
Nutritionist
10755 FALLS ROAD, SUITE 360 PAVILION 1
LUTHERVILLE, MD 21093
Radiology (Diagnostic Radiology)
10755 FALLS ROAD, SUITE 440
LUTHERVILLE, MD 21093
Clinical Medical Laboratory
10755 FALLS ROAD, PAVILION I, SUITE 407
LUTHERVILLE, MD 21093

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053039883, enumerated as an "organization" on August 18, 2022.

The provider is located at 10755 FALLS ROAD PAVILION I, SUITE 480 LUTHERVILLE, MD 21093 and the phone number is (410) 616-7250.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.