| NPI | 1750933362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY STRAUGHAN Rcm And Credentialing Manager 301-450-2095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine |
| Additional Taxonomies | 207UN0902X Nuclear Medicine Nuclear Imaging & Therapy |
| 2085B0100X Radiology Body Imaging | |
| 2085N0904X Radiology Nuclear Radiology | |
| 2085R0202X Radiology Diagnostic Radiology | |
| 2085R0203X Radiology Therapeutic Radiology | |
| Enumeration Date | 2019-07-13 |
| Last Update Date | 2025-08-07 |