Mary Immaculate Ambulatory Surgery Center LLC
Mary Immaculate Ambulatory Surgery Center LLC is an Ambulatory Surgical Clinic/Center in Newport News, Virginia. Licensed in Virginia. Registered with an NPI since 2006.
- Licensed in
- VA
- In the registry since
- 2006
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
12720 McManus Blvd Ste 103Newport News, VA 23602-4441
Phone: (757) 369-7000
Fax: (757) 369-3465
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Ambulatory Surgical Clinic/Center (primary) | Taxonomy 261QA1903X · Licence OH686 (VA) |
|---|
Record details
| NPI number | 1346270329 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kristen Oconnor — Authorized Official · (615) 376-7315 |
| NPI enumerated | July 4, 2006 |
| Last updated in NPPES | October 11, 2024 |
| Certification date | October 11, 2024 |
| Mailing address | 12720 McManus Blvd, Ste 103, Newport News, VA 23602-4441 |
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