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Organization
SOUTHERN RADIOLOGY GROUPS
Active
Organization
SOUTHERN RADIOLOGY GROUPS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONTOYA SUMMERS (OFFICE MANAGER)
(301) 523-6595
Entity
Organization
Contact information
Practice address
1310 SOUTHERN AVE SE, WASHINGTON, DC 20032-4623
(202) 221-8442
(202) 221-8443
Mailing address
7801 OLD BRANCH AVE STE 202, CLINTON, MD 20735-1642
(202) 221-8442
(202) 221-8443
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
261QR0206X
Mammography Clinic/Center
—
—
261QR0207X
Mobile Mammography Clinic/Center
—
—
261QR0208X
Mobile Radiology Clinic/Center
—
—
Other
Enumeration date
12/19/2022
Last updated
03/02/2023
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