Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Civista Clinical Services, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1366269623

Civista Clinical Services, LLC is an Ambulatory Surgical Clinic/Center in LA Plata, Maryland. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

101 Centennial St Ste E
LA Plata, MD 20646-5976
Phone: (301) 392-0525
Fax: (301) 392-0458
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1366269623
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCivista Clinical Services, LLC
Authorized official Albert Zanger — Chief Financial Officer · (301) 609-5163
NPI enumeratedSeptember 26, 2024
Last updated in NPPESSeptember 26, 2024
Certification dateSeptember 26, 2024
Mailing address900 Elkridge Landing Rd Fl 2, Linthicum, MD 21090-2924

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