NPIMap

Organization Active NPI

Laplata Ambulatory Urological Center, L.L.C.

  • Ambulatory Surgical Clinic/Center
  • La Plata, MD
National Provider Identifier
1336310986
Registry record updated Mar 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
LAPLATA AMBULATORY UROLOGICAL CENTER, L.L.C.
Practice address
101 Centennial St
Suite E
La Plata, MD 20646-5975
Phone
(301) 392-0525
Fax
(301) 392-0458
NPI assigned
Mar 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Vladimir Kakitelshvili, M.D.
Title
Director
Phone
(301) 392-0525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X MD Primary

Addresses

Primary practice location

101 Centennial St
Suite E
La Plata, MD 20646-5975

Mailing address

101 Centennial St
Suite E
La Plata, MD 20646-5975
Phone (301) 392-0525

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
La Plata Urology CenterCCN 21C0001480
Medicare certification status
Terminated Voluntary: merger or closure, Sep 9, 2024From the Provider of Services file

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238112000000",
    "number": "1336310986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CENTENNIAL ST",
            "address_2": "SUITE E",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206465975",
            "telephone_number": "301-392-0525",
            "fax_number": "301-392-0458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CENTENNIAL ST",
            "address_2": "SUITE E",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206465975",
            "telephone_number": "301-392-0525",
            "fax_number": "301-392-0458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAPLATA AMBULATORY UROLOGICAL CENTER, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-21",
        "last_updated": "2009-03-27",
        "status": "A",
        "authorized_official_last_name": "KAKITELSHVILI",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "301-392-0525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Plata, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.