Organization
UNIVERSITY IMAGING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES S WHITE M.D. (VICE PRESIDENT)
(410) 328-3477
Entity
Organization
Contact information
Practice address
419 W REDWOOD ST, SUITE 110, BALTIMORE, MD 21201-1734
(410) 328-9130
(410) 328-1009
Mailing address
PO BOX 64137, BALTIMORE, MD 21264-4137
Taxonomy
Speciality
Code
Description
License number
State
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
2085P0229X
Pediatric Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275501700
—
MD
Enumeration date
07/29/2006
Last updated
09/17/2024
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