ASC DEVELOPMENT COMPANY LLC
NPI 1114491073
Clinic/Center - Ambulatory Surgical in White Plains, MD

Active since January 14, 2019CLIA 21D2287040 · Waiver
5010 REGENCY PL STE 202A, WHITE PLAINS, MD 20695(301) 645-1523(301) 645-6812 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 8, 2025, Jun 2, 2025, Mar 9, 2020 and 1 more (4 updates tracked since 2019).

About Asc Development Company Llc NPPES

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

ASC DEVELOPMENT COMPANY LLC (NPI 1114491073) is a healthcare organization registered as an ambulatory surgical in White Plains, Maryland and active in the NPI registry since January 2019. The organization holds a CLIA Waiver certificate valid through August 7, 2027 and lists Shaneka Tinch, Rcm Manager, as its authorized official.

NPPES Registry Identity

NPI1114491073
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameASC DEVELOPMENT COMPANY LLC
Location Address5010 REGENCY PL STE 202AWhite Plains, MD 20695-3088
Mailing AddressPo Box 931606Atlanta, GA 31193-1606
Fax(301) 645-6812
Organization SubpartNo
Authorized OfficialShaneka TinchRcm Manager · (469) 458-9222
Enumeration DateJanuary 14, 2019
Last NPPES UpdateDecember 8, 20254 updates tracked since enumeration
NPPES CertifiedDecember 8, 2025
NPI 1114491073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
5010 REGENCY PL STE 202A, White Plains, MD 20695

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 21D2287040

ASC Development Company LLC · White Plains, MD
Active · expires Aug 7, 2027
CLIA Number21D2287040
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateAugust 8, 2025
Certificate Expiration DateAugust 7, 2027
Laboratory DirectorRichard Brouillette
Laboratory Phone(301) 433-7967
Laboratory LocationASC Development Company LLC5010 Regency Place Suite 202B, White Plains, MD 20695
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
556 services208 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
284 services134 patients
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635
This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.
209 services103 patients
Injection of substance into middle or upper spine canal using imaging guidance 62321
This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.
66 services47 patients
Injection of upper or middle spine facet joint using imaging guidance, single level 64490
This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.
64 services31 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
40 services24 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
5010 REGENCY PL STE 202A
WHITE PLAINS, MD 20695

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 ASC Development Company LLC's NPI number?

The NPI number for ASC Development Company LLC is 1114491073. It was assigned to this organization in the NPPES registry on January 14, 2019.

Where is ASC Development Company LLC located?

ASC Development Company LLC is located at 5010 Regency Pl Ste 202A, White Plains, MD 20695. The listed phone number is (301) 645-1523.

What is ASC Development Company LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does ASC Development Company LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2287040) is associated with this NPI, valid through August 7, 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 ASC Development Company LLC was last updated on December 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.