NPI | 1639122039 |
---|---|
Doing Business As | SHADY GROVE RADIOLOGY |
Entity Type | Organization |
Authorized Contact | LARRY W BUSCHING Chief Operating Officer 301-948-5700 |
Organization Subpart ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
Additional Taxonomies | 2085B0100X Radiology, Body Imaging |
2085N0700X | |
2085N0904X | |
2085P0229X Radiology, Pediatric Radiology | |
2085U0001X Radiology, Diagnostic Ultrasound | |
2085R0204X Radiology, Vascular & Interventional Radiology | |
207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy | |
Enumeration Date | 2006-05-18 |
Last Update Date | 2009-08-25 |