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

Mivc ASC, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1174074538

Mivc ASC, LLC is an Ambulatory Surgical Clinic/Center in Laurel, Maryland. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9201 Cherry Ln
Laurel, MD 20707
Phone: (301) 497-1590
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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 number1174074538
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMinimally Invasive Vascular Center of Maryland
Authorized official Jeffery Dormu — Ceo/Vascular Surgeon · (301) 497-1590
NPI enumeratedOctober 20, 2016
Last updated in NPPESNovember 2, 2016
Mailing address8730 Cherry Ln, Suite 10, Laurel, MD 20707-6212

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