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Organization
MIDATLANTIC DIAGNOSTICS, LLC
Active
Organization
MIDATLANTIC DIAGNOSTICS, LLC
Active
Parent organization
NATIONAL DIAGNOSTIC SOLUTIONS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NATIONAL DIAGNOSTIC SOLUTIONS LLC
Authorized official
MR. KEITH FERNANDEZ (ADMINISTRATOR)
(407) 474-9253
Entity
Organization
Contact information
Practice address
822 GUILFORD AVE # 210, BALTIMORE, MD 21202-3707
(410) 919-4396
Mailing address
822 GUILFORD AVE # 210, BALTIMORE, MD 21202-3707
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
NULL
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
—
Other
Enumeration date
03/04/2015
Last updated
03/04/2015
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