# BW IMAGING INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730104621
- **Authorized official:** MR. VLADIMIR VINNITSKY (PRESIDENT)
- **Authorized official phone:** (301) 208-1423

## Contact information

- **Practice address:** 114 SLADE AVE, PIKESVILLE, MD 21208-4906
- **Practice address phone:** (443) 872-7052
- **Practice address fax:** (410) 400-6085
- **Mailing address:** 11929 GLEN MILL ROAD, POTOMAC, MD 20854
- **Mailing address phone:** (301) 208-1423
- **Mailing address fax:** (301) 208-1423

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 247100000X | Radiologic Technologist | — | NULL | Yes |
| 247100000X | Radiologic Technologist | — | — | Yes |

## Other

- **Enumeration date:** 07/13/2006
- **Last updated:** 12/31/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 607520700 | — | MD |
| 01 | — | LS88 | BC/BS | MD |