MARY IMMACULATE AMBULATORY SURGERY CENTER LLC is an ambulatory surgical clinic center in Newport News, VA. MARY IMMACULATE AMBULATORY SURGERY CENTER LLC NPI is 1346270329. The provider is registered as an organization entity type.
The provider's business location address is:
12720 MCMANUS BLVD
STE 103
NEWPORT NEWS, VA
ZIP 23602-441
Phone: (757) 369-7000
Fax: (757) 369-3465
The provider's authorized official is Jenetha D Moran .
The authorized official title is Authorized Official and has the following contact phone number (972) 763-3893.
The CLIA number assigned to this NPI record is 49D1028695 - ambulatory surgery center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/4/2006 and was last updated on 12/4/2019.