MA
MIVC ASC, LLC
Adult Day Care
OIG CLEARNPI VERIFIED
Location
LAUREL, MD
Licensed since
2016
Rate
—
Federal identifiers
NPI registry number1174074538
Agency details
Parent orgMINIMALLY INVASIVE VASCULAR CENTER OF MARYLAND
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameJEFFERY DORMU
TitleCEO/VASCULAR SURGEON
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