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MIVC ASC, LLC
NPI 1174074538
Clinic/Center - Ambulatory Surgical in Laurel, MD

Active since October 20, 2016
9201 CHERRY LANE, LAUREL, MD 20707(301) 497-1590 Get Directions Write a Review

NPPES record last updated: November 2, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 2, 2016, Oct 20, 2016 (2 updates tracked since 2016).

About Mivc Asc, Llc NPPES

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

MIVC ASC, LLC (NPI 1174074538) is a healthcare organization registered as an ambulatory surgical in Laurel, Maryland and active in the NPI registry since October 2016. The organization lists Jeffery Jarwri Dormu, Ceo/vascular Surgeon, as its authorized official.

NPPES Registry Identity

NPI1174074538
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameMIVC ASC, LLC
Location Address9201 CHERRY LANELaurel, MD 20707
Mailing Address8730 Cherry Ln, Suite 10Laurel, MD 20707-6212 · (301) 497-1590
Phone(301) 497-1590
Organization SubpartYesParent: Minimally Invasive Vascular Center Of Maryland
Authorized OfficialJeffery Jarwri DormuCeo/vascular Surgeon · (301) 497-1590
Enumeration DateOctober 20, 2016
Last NPPES UpdateNovember 2, 20162 updates tracked since enumeration
✔ NPI 1174074538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
9201 CHERRY LANE, Laurel, MD 20707
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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 Mivc ASC, LLC's NPI number?

The NPI number for Mivc ASC, LLC is 1174074538. It was assigned to this organization in the NPPES registry on October 20, 2016.

Where is Mivc ASC, LLC located?

Mivc ASC, LLC is located at 9201 Cherry Lane, Laurel, MD 20707. The listed phone number is (301) 497-1590.

What is Mivc ASC, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Mivc ASC, LLC was last updated on November 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.