SUMMIT BRACHYTHERAPY LLC
NPI 1306570940
Clinic/Center - Ambulatory Surgical in Baltimore, MD

Active since July 11, 2022CLIA 21D2284635 · Waiver
3407 WILKENS AVE STE 200, BALTIMORE, MD 21229(410) 644-0929 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 25, 2025, Jan 24, 2023, Jul 11, 2022 (3 updates tracked since 2022).

About Summit Brachytherapy Llc NPPES

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

SUMMIT BRACHYTHERAPY LLC (NPI 1306570940) is a healthcare organization registered as an ambulatory surgical in Baltimore, Maryland and active in the NPI registry since July 2022. The organization holds a CLIA Waiver certificate valid through June 26, 2027 and lists Sanford Siegel, Ao, as its authorized official.

NPPES Registry Identity

NPI1306570940
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSUMMIT BRACHYTHERAPY LLC
Location Address3407 WILKENS AVE STE 200Baltimore, MD 21229-5221
Mailing Address10200 Grand Central Ave Ste 220Owings Mills, MD 21117-4366 · (559) 385-3817
Organization SubpartNo
Authorized OfficialSanford SiegelAo · (410) 581-1600
Enumeration DateJuly 11, 2022
Last NPPES UpdateJune 25, 20253 updates tracked since enumeration
NPPES CertifiedJune 25, 2025
NPI 1306570940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
3407 WILKENS AVE STE 200, Baltimore, MD 21229

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 21D2284635

Summit Brachytherapy LLC · Baltimore, MD
Active · expires Jun 26, 2027
CLIA Number21D2284635
Laboratory TypePhysician Office
Certificate Effective DateJune 27, 2025
Certificate Expiration DateJune 26, 2027
Laboratory DirectorDr. Brad Lerner
Laboratory Phone(410) 644-0929
Laboratory LocationSummit Brachytherapy LLC3407 Wilkens Ave #200, Baltimore, MD 21229
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
3407 WILKENS AVE STE 200
BALTIMORE, MD 21229

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 Summit Brachytherapy LLC's NPI number?

The NPI number for Summit Brachytherapy LLC is 1306570940. It was assigned to this organization in the NPPES registry on July 11, 2022.

Where is Summit Brachytherapy LLC located?

Summit Brachytherapy LLC is located at 3407 Wilkens Ave Ste 200, Baltimore, MD 21229. The listed phone number is (410) 644-0929.

What is Summit Brachytherapy LLC's specialty?

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

Does Summit Brachytherapy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2284635) is associated with this NPI, valid through June 26, 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 Summit Brachytherapy LLC was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.