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MARYLAND AMBULATORY SURGERY CENTER LLC
NPI 1487280871
Clinic/Center - Ambulatory Surgical in Lanham, MD

Active since March 17, 2020CLIA 21D2218974 · Waiver
7501 FORBES BLVD STE 103, LANHAM, MD 20706(202) 498-1125(240) 770-0436 Get Directions Write a Review

NPPES record last updated: June 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 30, 2021, Sep 16, 2020, Mar 17, 2020 (3 updates tracked since 2020).

About Maryland Ambulatory Surgery Center Llc NPPES

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

MARYLAND AMBULATORY SURGERY CENTER LLC (NPI 1487280871) is a healthcare organization registered as an ambulatory surgical in Lanham, Maryland and active in the NPI registry since March 2020. The organization holds a CLIA Waiver certificate valid through March 31, 2027 and lists Tristan Shockley, Owner, as its authorized official.

NPPES Registry Identity

NPI1487280871
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameMARYLAND AMBULATORY SURGERY CENTER LLC
Location Address7501 FORBES BLVD STE 103Lanham, MD 20706-6201
Mailing Address7501 Forbes Blvd Ste 103Lanham, MD 20706-6201 · (301) 850-4401 · Fax (301) 850-4402
Phone(202) 498-1125
Fax(240) 770-0436
Organization SubpartNo
Authorized OfficialTristan ShockleyOwner · (301) 850-4401
Enumeration DateMarch 17, 2020
Last NPPES UpdateJune 30, 20213 updates tracked since enumeration
NPPES CertifiedJune 30, 2021
✔ NPI 1487280871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
7501 FORBES BLVD STE 103, Lanham, MD 20706
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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 21D2218974

Maryland Ambulatory Surgery Center · Lanham, MD
Active · expires Mar 31, 2027
CLIA Number21D2218974
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 1, 2025
Certificate Expiration DateMarch 31, 2027
Laboratory DirectorDr. Tristan J. Shockley
Laboratory Phone(301) 850-4401
Laboratory LocationMaryland Ambulatory Surgery Center7501 Forbes Blvd #103, Lanham, MD 20706
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims

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.
34 services26 patients

Other Providers at the Same Location NPPES 3

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

THE SURGERY CLINICS LLC
Surgery
7501 FORBES BLVD STE 103
LANHAM, MD 20706
Prince George's County (240) 912-4576
CRH ANESTHESIA OF MARYLAND LLC
Nurse Anesthetist, Certified Registered
7501 FORBES BLVD STE 103
LANHAM, MD 20706
Prince George's County (425) 803-3885
FADE TO BLACK ANESTHESIA SERVICES
Nurse Anesthetist, Certified Registered
7501 FORBES BLVD STE 103
LANHAM, MD 20706
Prince George's County (215) 500-7580

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 Maryland Ambulatory Surgery Center LLC's NPI number?

The NPI number for Maryland Ambulatory Surgery Center LLC is 1487280871. It was assigned to this organization in the NPPES registry on March 17, 2020.

Where is Maryland Ambulatory Surgery Center LLC located?

Maryland Ambulatory Surgery Center LLC is located at 7501 Forbes Blvd Ste 103, Lanham, MD 20706. The listed phone number is (202) 498-1125.

What is Maryland Ambulatory Surgery Center LLC's specialty?

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

Does Maryland Ambulatory Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2218974) is associated with this NPI, valid through March 31, 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 Maryland Ambulatory Surgery Center LLC was last updated on June 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.