PREMIER VASCULAR CENTER OF MARYLAND LLC
NPI 1104335439
Surgery - Vascular Surgery in Towson, MD

Q: What is Premier Vascular Center Of Maryland LLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Active since September 29, 2017CLIA 21D2167701 · Waiver

7801 YORK ROAD, SUITE 240, TOWSON, MD 21286(410) 323-9214(410) 323-9215 Get Directions Write a Review

NPPES record last updated: September 29, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Premier Vascular Center Of Maryland Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMIER VASCULAR CENTER OF MARYLAND LLC (NPI 1104335439) is a healthcare organization registered as a vascular surgery in Towson, Maryland and active in the NPI registry since September 2017. The organization holds a CLIA Waiver certificate valid through June 12, 2027 and lists Mouhamad O. Annous, President, as its authorized official.

NPPES Registry Identity

NPI1104335439

Entity TypeOrganization

Primary Taxonomy2086S0129X

Legal Business NamePREMIER VASCULAR CENTER OF MARYLAND LLC

Location Address7801 YORK ROAD, SUITE 240Towson, MD 21286

Mailing Address1900 E Northern Pkwy Ste 209Baltimore, MD 21239-2110 · (410) 323-9214 · Fax (410) 323-9215

Phone(410) 323-9214

Fax(410) 323-9215

Organization SubpartNo

Authorized OfficialMouhamad O. AnnousPresident · (410) 323-9214

Enumeration DateSeptember 29, 2017

✔ NPI 1104335439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

7801 YORK ROAD, Towson, MD 21286

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2167701

Premier Vascular Center Of Maryland · Towson, MD

Active · expires Jun 12, 2027

CLIA Number21D2167701

Laboratory TypePhysician Office

Certificate Effective DateJune 13, 2025

Certificate Expiration DateJune 12, 2027

Laboratory DirectorMouhamad Annous

Laboratory Phone(410) 323-9214

Laboratory LocationPremier Vascular Center Of Maryland7801 York Rd Suite 240, Towson, MD 21204

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premier Vascular Center Of Maryland LLC's NPI number?

The NPI number for Premier Vascular Center Of Maryland LLC is 1104335439. It was assigned to this organization in the NPPES registry on September 29, 2017.

Where is Premier Vascular Center Of Maryland LLC located?

Premier Vascular Center Of Maryland LLC is located at 7801 York Road Suite 240, Towson, MD 21286. The listed phone number is (410) 323-9214.

What is Premier Vascular Center Of Maryland LLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Does Premier Vascular Center Of Maryland LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2167701) is associated with this NPI, valid through June 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Premier Vascular Center Of Maryland LLC was last updated on September 29, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.