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LASER SURGERY CENTER, INC
NPI 1487889531
Clinic/Center - Ambulatory Surgical in Severna Park, MD

Active since May 19, 2009CLIA 21D0864480 · Waiver
484 RITCHIE HWY STE A, SEVERNA PARK, MD 21146(410) 544-4600(410) 544-0997 Get Directions Write a Review

NPPES record last updated: May 19, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Laser Surgery Center, Inc NPPES

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

LASER SURGERY CENTER, INC (NPI 1487889531) is a healthcare organization registered as an ambulatory surgical in Severna Park, Maryland and active in the NPI registry since May 2009. The organization holds a CLIA Waiver certificate valid through October 2, 2026 and lists Ross J Vanantwerp, President, as its authorized official.

NPPES Registry Identity

NPI1487889531
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameLASER SURGERY CENTER, INC
Location Address484 RITCHIE HWY STE ASeverna Park, MD 21146-2961
Mailing Address484 Ritchie Hwy Ste ASeverna Park, MD 21146-2961 · (410) 544-4600 · Fax (410) 544-0997
Phone(410) 544-4600
Fax(410) 544-0997
Organization SubpartNo
Authorized OfficialRoss J VanantwerpPresident · (410) 544-4600
Enumeration DateMay 19, 2009
✔ NPI 1487889531 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 · A1080
484 RITCHIE HWY STE A, Severna Park, MD 21146
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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 21D0864480

Laser Surgery Center Inc · Severna Park, MD
Active · expires Oct 2, 2026
CLIA Number21D0864480
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 3, 2024
Certificate Expiration DateOctober 2, 2026
Laboratory DirectorRoss J. Van Antwerp
Laboratory Phone(410) 544-4600
Laboratory LocationLaser Surgery Center Inc484 Ritchie Hwy, Severna Park, MD 21146
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

JARED EMERSON MALLALIEU D.O.
Surgery
484 RITCHIE HWY STE A
SEVERNA PARK, MD 21146
Anne Arundel County (410) 544-4600
TINA MARIE DIPAOLA FNP-C
Registered Nurse (General Practice)
484 RITCHIE HWY STE A
SEVERNA PARK, MD 21146
Anne Arundel County (443) 928-1003
ROSS VAN ANTWERP DO MPH PA LASER CENTER OF MARYLAND
Clinic/Center (Health Service)
484 RITCHIE HWY STE A
SEVERNA PARK, MD 21146
Anne Arundel County (410) 544-4600

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 Laser Surgery Center, Inc's NPI number?

The NPI number for Laser Surgery Center, Inc is 1487889531. It was assigned to this organization in the NPPES registry on May 19, 2009.

Where is Laser Surgery Center, Inc located?

Laser Surgery Center, Inc is located at 484 Ritchie Hwy Ste A, Severna Park, MD 21146. The listed phone number is (410) 544-4600.

What is Laser Surgery Center, Inc's specialty?

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

Does Laser Surgery Center, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D0864480) is associated with this NPI, valid through October 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Laser Surgery Center, Inc was last updated on May 19, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.