Organization
ATLANTIC PORTABLE X-RAY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA NOYES AQUINO (PRESIDENT)
(410) 433-4747
Entity
Organization
Contact information
Practice address
9748 STEPHEN DECATUR HWY STE 113, OCEAN CITY, MD 21842-9358
(410) 433-4747
(410) 237-6911
Mailing address
14103 FIESTA RD, OCEAN CITY, MD 21842-5639
(410) 433-4747
(410) 237-6911
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5000529509
STATE OF MARYLAND - DEPARTMENT OF ASSESSMENTS AND TAXATION
MD
Enumeration date
10/13/2020
Last updated
06/28/2024
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