Healthcare Provider Details

I. General information

NPI: 1083837231
Provider Name (Legal Business Name): METRO SURGICAL CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 WAYNE AVE SUITE 410
SILVER SPRING MD
20910-5600
US

IV. Provider business mailing address

PO BOX 7708
MCLEAN VA
22106-7708
US

V. Phone/Fax

Practice location:
  • Phone: 301-589-3916
  • Fax: 301-588-1257
Mailing address:
  • Phone: 301-589-3916
  • Fax: 301-588-1257

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License NumberA1365
License Number StateMD

VIII. Authorized Official

Name: DIANE SMITH
Title or Position: BUSINESS MANAGER
Credential:
Phone: 301-589-3916