National Provider Identifier Database

UNIVERSITY OF MARYLAND DIAGNOSTIC RADIOLOGY LLC
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Contact Information

UNIVERSITY OF MARYLAND DIAGNOSTIC RADIOLOGY, LLC
301 HOSPITAL DR
GLEN BURNIE, MD  21061-5803
Phone: 410-787-4633
Fax:
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X
Diagnostic Neuroimaging 2085D0003X
Neuroradiology 2085N0700X
Nuclear Imaging & Therapy 207UN0902X
Nuclear Medicine 207U00000X
Nuclear Radiology 2085N0904X
Pediatric Radiology 2085P0229X
Vascular & Interventional Radiology 2085R0204X

* Indicates primary specialty

NPI Profile & details for UNIVERSITY OF MARYLAND DIAGNOSTIC RADIOLOGY, LLC

NPI Number 1548803257
Legal business name
LBN		 UNIVERSITY OF MARYLAND DIAGNOSTIC RADIOLOGY, LLC
Authorized official CHARLES WHITE - (VICE PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 10/25/2019
Last updated 03/03/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • MD Medicaid: 302245501
  • MD Medicaid: 302245502
  • MD Medicaid: 302245503
  • MD Medicaid: 302245504

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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