UNIVERSITY OF MARYLAND DIAGNOSTIC RADIOLOGY, LLC; NPI #1548803257

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	Specialty Code	Provider Type
Diagnostic Radiology	2085R0202X	30	Physician/Diagnostic Radiology
Diagnostic Neuroimaging	2085D0003X
Neuroradiology	2085N0700X
Nuclear Imaging & Therapy	207UN0902X	36	Physician/Nuclear Medicine
Nuclear Medicine	207U00000X	36	Physician/Nuclear Medicine
Nuclear Radiology	2085N0904X
Pediatric Radiology	2085P0229X
Vascular & Interventional Radiology	2085R0204X	94	Physician/Interventional Radiology

Indicates primary specialty

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

NPI # 1548803257

LBN Legal business name UNIVERSITY OF MARYLAND DIAGNOSTIC RADIOLOGY, LLC

Authorized official CHARLES WHITE - (VICE PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/25/2019

Last updated 03/03/2021 - About 5 years ago

Identifiers

MD	Medicaid	302245501
MD	Medicaid	302245502
MD	Medicaid	302245503
MD	Medicaid	302245504

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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UNIVERSITY OF MARYLAND DIAGNOSTIC RADIOLOGY, LLC

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

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