| NPI | 1740019280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI CLOSE Associate Administrator 410-328-9130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Additional Taxonomies | 2085U0001X Radiology Diagnostic Ultrasound |
| 2085B0100X Radiology Body Imaging | |
| 2085D0003X Radiology Diagnostic Neuroimaging | |
| 2085N0700X Radiology Neuroradiology | |
| 2085P0229X Radiology Pediatric Radiology | |
| 2085R0204X Radiology Vascular & Interventional Radiology | |
| Enumeration Date | 2024-08-01 |
| Last Update Date | 2024-08-01 |