Organization
DIAGNOSTIC IMAGING ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN STALLINGS (MD/PRACTICE ADMINISTRATOR)
(301) 249-0022
Entity
Organization
Contact information
Practice address
8118 GOOD LUCK RD, LANHAM, MD 20706-3595
(301) 249-0022
Mailing address
PO BOX 79915, BALTIMORE, MD 21279-0915
(443) 274-2900
(443) 274-2391
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
403703102
—
MD
01
—
7926
BCBS GROUP PROVIDER #
DC
01
—
H800DI
BCBS GROUP PROVIDER #
MD
Enumeration date
06/04/2006
Last updated
04/02/2014
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