SURGERY CENTER OF POTOMAC LLC
NPI 1710079470
Clinic/Center - Ambulatory Surgical in Rockville, MD
NPI Status: Active since September 29, 2006
Contact Information
3203 TOWER OAKS BLVD
#100
ROCKVILLE, MD
ZIP 20852
Phone: (240) 747-5631
Fax: (301) 754-2503
- Organization
- Clinic/Center
- Ambulatory Surgical
- CLIA Number: 21D1053162
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 04-16-2026
About SURGERY CENTER OF POTOMAC LLC
This page provides the complete NPI Profile along with additional information for Surgery Center Of Potomac Llc, a provider established in Rockville, Maryland operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1710079470 assigned on September 2006. The practitioner's primary taxonomy code is 261QA1903X with license number A1404 (MD). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Dr. Adam Gaston Tattelbaum Md (Owner)
- NPI
- 1710079470
- Provider Name
- SURGERY CENTER OF POTOMAC LLC
- Entity Type
- Organization
- Location Address
- 3203 TOWER OAKS BLVD #100 ROCKVILLE, MD 20852
- Location Phone
- (240) 747-5631
- Location Fax
- (301) 754-2503
- Mailing Address
- 3203 TOWER OAKS BLVD #100 ROCKVILLE, MD 20852
- Mailing Phone
- (240) 747-5631
- Mailing Fax
- (301) 754-2503
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-29-2006
- Last Update Date
- 08-22-2020
- 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
Clinic/Center Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- Type
- Ambulatory Health Care Facilities
- License No.
- A1404
- License State
- MD
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
- 21D1053162
- Facility Type
- Community Clinic
- Certificate Effective Date
- April 17, 2024
- Certificate Expiration Date
- April 16, 2026
- Laboratory Director
- BENNETT YANG
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Surgery Center Of Potomac 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 | 7 | 1 | 0 | 0 | 7 | 9 | 4 | 7 | 0 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 7 | 2 | 0 | 0 | 7 | 18 | 4 | 14 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 7 + 2 + 0 + 0 + 7 + 1 + 8 + 4 + 1 + 4 + 24 = 60 | |||||||||
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
0 |
The NPI number 1710079470 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1982787594 | DR. BENNETT CHENG DAH YANG MD PC Individual | Surgery (Plastic and Reconstructive Surgery) | 3203 TOWER OAKS BLVD #200 ROCKVILLE, MD 20852 (301) 656-6398 |
1134205057 | DR. FREDERICK HARVEY WATKINS IV MD Individual | Plastic Surgery | 3203 TOWER OAKS BLVD #200 ROCKVILLE, MD 20852 (301) 656-6398 |
1619159910 | BENNETT C. YANG, M.D., P.C. Organization | Specialist | 3203 TOWER OAKS BLVD STE 200 ROCKVILLE, MD 20852 (301) 656-6398 |
1073796454 | DONNELLY INC. Organization | Nurse Anesthetist, Certified Registered | 3203 TOWER OAKS BLVD ROCKVILLE, MD 20852 (240) 747-5650 |
1184871097 | BARRY J. COHEN, M.D., P.C. Organization | Specialist | 3203 TOWER OAKS BLVD SUITE 200 ROCKVILLE, MD 20852 (301) 656-6398 |
1922328582 | BECKERMAN WOMEN'S HEALTH, LLC Organization | Obstetrics & Gynecology (Gynecology) | 3203 TOWER OAKS BLVD SUITE 102 ROCKVILLE, MD 20852 (301) 230-1488 |
1578510202 | DR. ADAM G TATTELBAUM M.D. Individual | Plastic Surgery | 3203 TOWER OAKS BLVD #200 ROCKVILLE, MD 20852 (301) 656-6398 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710079470, enumerated in the NPI registry as an "organization" on September 29, 2006
The provider is located at 3203 Tower Oaks Blvd #100 Rockville, Md 20852 and the phone number is (240) 747-5631
This medical organization specializes in Clinic/Center with taxonomy code 261QA1903X with a focus in Ambulatory Surgical
The provider's CLIA number is 21D1053162 for a "community clinic" 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, 2006. 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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