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AMBULATORY SURGERY CENTER OF BETHESDA, LLC
NPI 1407947112
Clinic/Center - Ambulatory Surgical in North Bethesda, MD

Active since September 27, 2006CLIA 21D2141878 · Waiver
11210 OLD GEORGETOWN RD, NORTH BETHESDA, MD 20852(301) 984-8600(301) 984-8601 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 4, 2026, Aug 22, 2020 (2 updates tracked since 2020).

About Ambulatory Surgery Center Of Bethesda, Llc NPPES

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

AMBULATORY SURGERY CENTER OF BETHESDA, LLC (NPI 1407947112) is a healthcare organization registered as an ambulatory surgical in North Bethesda, Maryland and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through December 25, 2027 and lists Douglas Forman, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1407947112
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameAMBULATORY SURGERY CENTER OF BETHESDA, LLC
Location Address11210 OLD GEORGETOWN RDNorth Bethesda, MD 20852-3202
Mailing Address11210 Old Georgetown RdNorth Bethesda, MD 20852-3202 · (301) 984-8600 · Fax (301) 984-8601
Phone(301) 984-8600
Fax(301) 984-8601
Organization SubpartNo
Authorized OfficialDouglas FormanMedical Director · (301) 984-8600
Enumeration DateSeptember 27, 2006
Last NPPES UpdateMay 4, 20262 updates tracked since enumeration
NPPES CertifiedMay 4, 2026
✔ NPI 1407947112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in MD · A1371
11210 OLD GEORGETOWN RD, North Bethesda, MD 20852
Open in Google Maps ↗

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 21D2141878

Ambulatory Surgery Center Of Bethesda LLC · Rockville, MD
Active · expires Dec 25, 2027
CLIA Number21D2141878
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateDecember 26, 2025
Certificate Expiration DateDecember 25, 2027
Laboratory DirectorDr. Douglas L. Forman
Laboratory Phone(301) 984-8600
Laboratory LocationAmbulatory Surgery Center Of Bethesda LLC11210 Old Georgetown Road, Rockville, MD 20852
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 5

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

DR. DOUGLAS LEE FORMAN M.D.
Specialist
11210 OLD GEORGETOWN RD
NORTH BETHESDA, MD 20852
Montgomery County (301) 881-7770
DR. KATHY HUANG M.D.
Plastic Surgery
11210 OLD GEORGETOWN RD
NORTH BETHESDA, MD 20852
Montgomery County (301) 881-7770
PLASTIC SURGERY INSTITUTE OF WASHINGTON, P.C.
Plastic Surgery
11210 OLD GEORGETOWN RD
NORTH BETHESDA, MD 20852
Montgomery County (301) 881-7770
DR. ROGER J FRIEDMAN M.D.
Specialist
11210 OLD GEORGETOWN RD
NORTH BETHESDA, MD 20852
Montgomery County (301) 881-7770
NORTH BETHESDA PLASTIC SURGERY LLC
Plastic Surgery
11210 OLD GEORGETOWN RD
NORTH BETHESDA, MD 20852
Montgomery County (301) 881-7770

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 Ambulatory Surgery Center Of Bethesda, LLC's NPI number?

The NPI number for Ambulatory Surgery Center Of Bethesda, LLC is 1407947112. It was assigned to this organization in the NPPES registry on September 27, 2006.

Where is Ambulatory Surgery Center Of Bethesda, LLC located?

Ambulatory Surgery Center Of Bethesda, LLC is located at 11210 Old Georgetown Rd, North Bethesda, MD 20852. The listed phone number is (301) 984-8600.

What is Ambulatory Surgery Center Of Bethesda, LLC's specialty?

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

Does Ambulatory Surgery Center Of Bethesda, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2141878) is associated with this NPI, valid through December 25, 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 Ambulatory Surgery Center Of Bethesda, LLC was last updated on May 4, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.