National Provider Identifier Database

MITCHELLVILLE RADIOLOGY
Diagnostic Radiology

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


Contact Information

MITCHELLVILLE RADIOLOGY
1100 MERCANTILE LN
SUITE 150
LARGO, MD20774-5380
Phone: 301-249-0022
Fax: 301-249-7640
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X
Diagnostic Ultrasound 2085U0001X
Nuclear Radiology 2085N0904X
Vascular & Interventional Radiology 2085R0204X

* Indicates primary specialty

NPI Profile & details for MITCHELLVILLE RADIOLOGY

NPI Number 1669696654
Legal business name
LBN
MITCHELLVILLE RADIOLOGY
Authorized official CHRISTOPHER DUGAN - (PRACTICE ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 04/12/2007
Last updated 10/15/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • DC Other: 7926 BCBS-DC GROUP #
  • MD Other: H800DI BCBS-MD GROUP #

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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