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Contact Information

MITCHELLVILLE RADIOLOGY
1100 MERCANTILE LN
SUITE 150
LARGO, MD20774-5380
 Phone: 301-249-0022
 Fax: 301-249-7640
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Diagnostic Ultrasound

2085U0001X
 

Nuclear Radiology

2085N0904X
 

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for MITCHELLVILLE RADIOLOGY

NPI # 1669696654
LBN Legal business name MITCHELLVILLE RADIOLOGY
Authorized official CHRISTOPHER DUGAN - (PRACTICE ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/12/2007
Last updated 10/15/2007 - About 19 years ago
Identifiers
DC Other 7926 BCBS-DC GROUP #
MD Other H800DI BCBS-MD GROUP #
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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