LASER SURGERY CENTER, INC
NPI 1487889531
Clinic/Center - Ambulatory Surgical in Severna Park, MD
NPI Status: Active since May 19, 2009
Contact Information
484 RITCHIE HWY STE A
SEVERNA PARK, MD
ZIP 21146
Phone: (410) 544-4600
Fax: (410) 544-0997
- Organization
- Clinic/Center
- Ambulatory Surgical
- CLIA Number: 21D0864480
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 10-02-2026
About LASER SURGERY CENTER, INC
This page provides the complete NPI Profile along with additional information for Laser Surgery Center, Inc, a provider established in Severna Park, Maryland operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1487889531 assigned on May 2009. The practitioner's primary taxonomy code is 261QA1903X with license number A1080 (MD). The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Ross J Vanantwerp D.o., M.p.h (President)
- NPI
- 1487889531
- Provider Name
- LASER SURGERY CENTER, INC
- Entity Type
- Organization
- Location Address
- 484 RITCHIE HWY STE A SEVERNA PARK, MD 21146
- Location Phone
- (410) 544-4600
- Location Fax
- (410) 544-0997
- Mailing Address
- 484 RITCHIE HWY STE A SEVERNA PARK, MD 21146
- Mailing Phone
- (410) 544-4600
- Mailing Fax
- (410) 544-0997
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-19-2009
- Last Update Date
- 05-19-2009
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- Type
- Ambulatory Health Care Facilities
- License No.
- A1080
- License State
- MD
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 21D0864480
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- October 03, 2024
- Certificate Expiration Date
- October 02, 2026
- Laboratory Director
- ROSS J. VAN ANTWERP
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Laser Surgery Center, Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 8 | 7 | 8 | 8 | 9 | 5 | 3 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 16 | 7 | 16 | 8 | 18 | 5 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 6 + 7 + 1 + 6 + 8 + 1 + 8 + 5 + 6 + 24 = 79 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 79 = 1 | 1 | ||||||||
The NPI number 1487889531 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
ROSS VAN ANTWERP DO MPH PA LASER CENTER OF MARYLAND
Clinic/Center
(Health Service)
484 RITCHIE HWY STE A
SEVERNA PARK, MD
ZIP 21146
JARED EMERSON MALLALIEU D.O.
Surgery
484 RITCHIE HWY STE A
SEVERNA PARK, MD
ZIP 21146
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487889531, enumerated as an "organization" on May 19, 2009.
The provider is located at 484 RITCHIE HWY STE A SEVERNA PARK, MD 21146 and the phone number is (410) 544-4600.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
