Organization
PROFESIONAL MEDICAL IMAGING SOLUTIONS LLC
Active
Other names
PET Imaging at White Marsh
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT MULREANSY (PRESIDENT)
(410) 931-4738
Entity
Organization
Contact information
Practice address
9900 FRANKLIN SQUARE DR, BALTIMORE, MD 21236-5915
(410) 931-4738
(410) 931-2989
Mailing address
9900 FRANKLIN SQUARE DR, BALTIMORE, MD 21236-5915
(410) 931-4738
(410) 931-2989
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KBB6PE
BLUE SHIELD
MD
01
—
S354
BLUE SHIELD
DC
Enumeration date
07/08/2006
Last updated
01/29/2008
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