# MARYLAND INTERVENTIONAL INSTITUTE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** IR MSO LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1639023856
- **Legal business name:** IR MSO LLC
- **Authorized official:** JOHN C LIPMAN MD (OWNER)
- **Authorized official phone:** (770) 953-2600

## Contact information

- **Practice address:** 5920 BRADLEY BLVD, BETHESDA, MD 20814-1107
- **Practice address phone:** (770) 953-2600
- **Mailing address:** 3670 HIGHLANDS PKWY SE, SMYRNA, GA 30082-5184
- **Mailing address phone:** (770) 953-2600
- **Mailing address fax:** (770) 953-2602

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/24/2026
- **Last updated:** 02/24/2026