OrganizationActive
Mivc Asc, LLC
NPI 1174074538 · Ambulatory Surgical Clinic/Center · Laurel, MD
Provider details
- NPI number
- 1174074538
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Minimally Invasive Vascular Center of Maryland
- Organization subpart
- Yes
- Authorized official
- Jeffery Dormu, Ceo/Vascular Surgeon(301) 497-1590
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9201 Cherry Lane
Laurel, MD 20707
Phone: (301) 497-1590
Street-level locationGet directions
Mailing address
8730 Cherry Ln
Laurel, MD 20707-6212
Registry dates
- Enumerated
- 2016-10-20
- Last updated
- 2016-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.