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SURGERY CENTER OF POTOMAC LLC
NPI 1710079470
Clinic/Center - Ambulatory Surgical in Rockville, MD

Active since September 29, 2006CLIA 21D1053162 · Waiver
3203 TOWER OAKS BLVD, #100, ROCKVILLE, MD 20852(240) 747-5631(301) 754-2503 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Surgery Center Of Potomac Llc NPPES

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

SURGERY CENTER OF POTOMAC LLC (NPI 1710079470) is a healthcare organization registered as an ambulatory surgical in Rockville, Maryland and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through April 16, 2028 and lists Adam Gaston Tattelbaum, Owner, as its authorized official.

NPPES Registry Identity

NPI1710079470
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSURGERY CENTER OF POTOMAC LLC
Location Address3203 TOWER OAKS BLVD, #100Rockville, MD 20852
Mailing Address3203 Tower Oaks Blvd, #100Rockville, MD 20852 · (240) 747-5631 · Fax (301) 754-2503
Phone(240) 747-5631
Fax(301) 754-2503
Organization SubpartNo
Authorized OfficialAdam Gaston TattelbaumOwner · (240) 747-5631
Enumeration DateSeptember 29, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1710079470 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 · A1404
3203 TOWER OAKS BLVD, Rockville, MD 20852
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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 21D1053162

Surgery Center Of Potomac LLC · Rockville, MD
Active · expires Apr 16, 2028
CLIA Number21D1053162
Laboratory TypeCommunity Clinic
Certificate Effective DateApril 17, 2026
Certificate Expiration DateApril 16, 2028
Laboratory DirectorBennett Yang
Laboratory Phone(240) 747-5650
Laboratory LocationSurgery Center Of Potomac LLC3203 Tower Oaks Blvd Ste 100, Rockville, MD 20852
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

HEATHER MARIE DOYLE DPT
Physical Therapist
3203 TOWER OAKS BLVD
ROCKVILLE, MD 20852
Montgomery County (301) 718-9611
DONNELLY INC.
Nurse Anesthetist, Certified Registered
3203 TOWER OAKS BLVD
ROCKVILLE, MD 20852
Montgomery County (240) 747-5650
DR. FREDERICK HARVEY WATKINS IV MD
Plastic Surgery
3203 TOWER OAKS BLVD, #200
ROCKVILLE, MD 20852
Montgomery County (301) 656-6398
BARRY J. COHEN, M.D., P.C.
Specialist
3203 TOWER OAKS BLVD, SUITE 200
ROCKVILLE, MD 20852
Montgomery County (301) 656-6398
DR. ADAM G TATTELBAUM M.D.
Plastic Surgery
3203 TOWER OAKS BLVD, #200
ROCKVILLE, MD 20852
Montgomery County (301) 656-6398
BENNETT C. YANG, M.D., P.C.
Specialist
3203 TOWER OAKS BLVD, STE 200
ROCKVILLE, MD 20852
Montgomery County (301) 656-6398
BECKERMAN WOMEN'S HEALTH, LLC
Obstetrics & Gynecology (Gynecology)
3203 TOWER OAKS BLVD, SUITE 102
ROCKVILLE, MD 20852
Montgomery County (301) 230-1488
DR. BENNETT CHENG DAH YANG MD PC
Surgery (Plastic and Reconstructive Surgery)
3203 TOWER OAKS BLVD, #200
ROCKVILLE, MD 20852
Montgomery County (301) 656-6398

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 Surgery Center Of Potomac LLC's NPI number?

The NPI number for Surgery Center Of Potomac LLC is 1710079470. It was assigned to this organization in the NPPES registry on September 29, 2006.

Where is Surgery Center Of Potomac LLC located?

Surgery Center Of Potomac LLC is located at 3203 Tower Oaks Blvd #100, Rockville, MD 20852. The listed phone number is (240) 747-5631.

What is Surgery Center Of Potomac LLC's specialty?

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

Does Surgery Center Of Potomac LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D1053162) is associated with this NPI, valid through April 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Surgery Center Of Potomac LLC was last updated on August 22, 2020. 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.