SLADE ASC, LLC – NPI #1871504803
Clinic/Center

SLADE ASC, LLC is an AHC clinic located in OWINGS MILLS, MD. NPPES has assigned the NPI number 1871504803 to SLADE ASC, LLC on August 11, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SLADE ASC, LLC below.

NPI Profile for
SLADE ASC, LLC

NPI Number
1871504803
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SLADE ASC, LLC
Primary location
10 CROSSROADS DRIVE
SUITE 104
OWINGS MILLS, MD 21117
Phone: (410) 654-5700 Fax: (410) 654-5399
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RICHARD GRUEN
MEDICAL DIRECTOR
Phone: (410) 654-5700
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 MD D0025907

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.