PREMIER VASCULAR CENTER OF MARYLAND LLC
NPI 1104335439
Surgery - Vascular Surgery in Towson, MD
NPI Status: Active since September 29, 2017
Contact Information
7801 YORK ROAD
SUITE 240
TOWSON, MD
ZIP 21286
Phone: (410) 323-9214
Fax: (410) 323-9215
- Organization
- Surgery
- Vascular Surgery
- CLIA Number: 21D2167701
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-12-2027
About PREMIER VASCULAR CENTER OF MARYLAND LLC
This page provides the complete NPI Profile along with additional information for Premier Vascular Center Of Maryland Llc, a provider established in Towson, Maryland operating as a Surgery, focusing in vascular surgery . The healthcare provider is registered in the NPI registry with number 1104335439 assigned on September 2017. The practitioner's primary taxonomy code is 2086S0129X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mouhamad O. Annous M.d. (President)
- NPI
- 1104335439
- Provider Name
- PREMIER VASCULAR CENTER OF MARYLAND LLC
- Entity Type
- Organization
- Location Address
- 7801 YORK ROAD SUITE 240 TOWSON, MD 21286
- Location Phone
- (410) 323-9214
- Location Fax
- (410) 323-9215
- Mailing Address
- 1900 E NORTHERN PKWY STE 209 BALTIMORE, MD 21239
- Mailing Phone
- (410) 323-9214
- Mailing Fax
- (410) 323-9215
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-29-2017
- Last Update Date
- 09-29-2017
- 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
Surgery Vascular Surgery
- Taxonomy Code
- 2086S0129X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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
- 21D2167701
- Facility Type
- Physician Office
- Certificate Effective Date
- June 13, 2025
- Certificate Expiration Date
- June 12, 2027
- Laboratory Director
- MOUHAMAD ANNOUS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Premier Vascular Center Of Maryland Llc 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 | 1 | 0 | 4 | 3 | 3 | 5 | 4 | 3 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 6 | 3 | 10 | 4 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 6 + 3 + 1 + 0 + 4 + 6 + 24 = 51 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 51 = 9 | 9 | ||||||||
The NPI number 1104335439 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104335439, enumerated in the NPI registry as an "organization" on September 29, 2017
The provider is located at 7801 York Road Suite 240 Towson, Md 21286 and the phone number is (410) 323-9214
This medical organization specializes in Surgery with taxonomy code 2086S0129X with a focus in Vascular Surgery
The provider's CLIA number is 21D2167701 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..
This NPI record was last updated on September 29, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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