Mitchellville Radiology
Diagnostic Radiology Physician in Largo, MD(View on Map)
Legal Business Name
Mitchellville Radiology
NPI Number
1669696654
NPI Type
Organization
Enumeration Date
04/12/2007
Specialties
(Taxonomies)Name
Code
2085R0202X
2085U0001X
2085N0904X
2085R0204X
Primary Taxonomy
Yes
No
No
No
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 79915
1100 MERCANTILE LN
City
Baltimore
Largo
State
MD
MD
Postal Code
21279-0915
20774-5380
Country
US
US
Telephone Number
(301) 498-2922
(301) 249-0022
Authorized Official
Name
Mr. Christopher Dugan
Title or Position
PRACTICE ADMINISTRATOR
Telephone Number
(301) 249-0022
Identifiers
Identifier
H800DI
7926
Identifier State
MD
DC
Identifier Issuer
BCBS-MD GROUP #
BCBS-DC GROUP #
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 10/15/2007
Provider Address
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