Provider Demographics
NPI:1083837231
Name:METRO SURGICAL CENTER, INC.
Entity Type:Organization
Organization Name:METRO SURGICAL CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-589-3916
Mailing Address - Street 1:PO BOX 7708
Mailing Address - Street 2:
Mailing Address - City:MCLEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22106-7708
Mailing Address - Country:US
Mailing Address - Phone:301-589-3916
Mailing Address - Fax:301-588-1257
Practice Address - Street 1:1010 WAYNE AVE
Practice Address - Street 2:SUITE 410
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-5600
Practice Address - Country:US
Practice Address - Phone:301-589-3916
Practice Address - Fax:301-588-1257
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA1365261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDA1365OtherFREESTANDING AMBULATORY