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JEV SURGERY CENTER, LLC
NPI 1154951945
Clinic/Center - Ambulatory Surgical in Owings Mills, MD

Active since January 21, 2020CLIA 21D2107472 · Waiver
4 PARK CENTER COURT, SUITE 100, OWINGS MILLS, MD 21117(410) 484-8864(410) 484-2566 Get Directions Write a Review

NPPES record last updated: January 21, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jev Surgery Center, Llc NPPES

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

JEV SURGERY CENTER, LLC (NPI 1154951945) is a healthcare organization registered as an ambulatory surgical in Owings Mills, Maryland and active in the NPI registry since January 2020. The organization holds a CLIA Waiver certificate valid through January 13, 2028 and lists Carrie A Houssock, President, as its authorized official.

NPPES Registry Identity

NPI1154951945
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameJEV SURGERY CENTER, LLC
Location Address4 PARK CENTER COURT, SUITE 100Owings Mills, MD 21117
Mailing Address4 Park Center Court, Suite 100Owings Mills, MD 21117 · (410) 484-8864 · Fax (410) 484-2566
Phone(410) 484-8864
Fax(410) 484-2566
Organization SubpartNo
Authorized OfficialCarrie A HoussockPresident · (410) 484-8860
Enumeration DateJanuary 21, 2020
✔ NPI 1154951945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
4 PARK CENTER COURT, Owings Mills, MD 21117
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Other Identifiers 1

Medicaid21C-6000123MD

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 21D2107472

Jev Surgery Center · Owings Mills, MD
Active · expires Jan 13, 2028
CLIA Number21D2107472
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJanuary 14, 2026
Certificate Expiration DateJanuary 13, 2028
Laboratory DirectorDr. Carrie A. Houssock
Laboratory Phone(410) 484-8860
Laboratory LocationJev Surgery Center4 Park Center Court Ste 100, Owings Mills, MD 21117
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

JEV PLASTIC SURGERY AND MEDICAL AESTHETICS, LLC.
Clinic/Center (Ambulatory Surgical)
4 PARK CENTER COURT, SUITE 100
OWINGS MILLS, MD 21117
Baltimore County (410) 484-8860
ALICIA BOLDEN DPT
Physical Therapist
4 PARK CENTER COURT, SUITE 102
OWINGS MILLS, MD 21117
Baltimore County (410) 377-8900

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 Jev Surgery Center, LLC's NPI number?

The NPI number for Jev Surgery Center, LLC is 1154951945. It was assigned to this organization in the NPPES registry on January 21, 2020.

Where is Jev Surgery Center, LLC located?

Jev Surgery Center, LLC is located at 4 Park Center Court Suite 100, Owings Mills, MD 21117. The listed phone number is (410) 484-8864.

What is Jev Surgery Center, LLC's specialty?

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

Does Jev Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2107472) is associated with this NPI, valid through January 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jev Surgery Center, LLC was last updated on January 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.