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Contact Information

PENINSULA IMAGING L.L.C.
1655 WOODBROOKE DR
SUITE 101
SALISBURY, MD21804-8502
 Phone: 410-749-1123
 Fax: 410-543-1065
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Body Imaging

2085B0100X
 

Diagnostic Ultrasound

2085U0001X
 

Nuclear Radiology

2085N0904X
Indicates primary specialty

NPI Profile & details for PENINSULA IMAGING L.L.C.

NPI # 1851359707
LBN Legal business name PENINSULA IMAGING L.L.C.
Authorized official PETER LIBBY - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/02/2006
Last updated 05/28/2009 - About 17 years ago
Identifiers
MD Medicaid 8005311
MD Other KB55 CAREFIRST BLUE SHIELD
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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