Organization
AMERICAN DIAGNOSTIC MEDICINE
Active
Other names
FIRST PET
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA M HERMANSON (MANAGER)
(866) 212-7009
Entity
Organization
Contact information
Practice address
7235 HANOVER PKWY, SUITE A & B, GREENBELT, MD 20770-3601
(877) 212-7009
(321) 383-3101
Mailing address
PO BOX 1139, GREENBELT, MD 20768-1139
(866) 212-7009
(321) 383-3101
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1KBT1
BLUE SHIELD
MD
01
—
G830
CAREFIRST BLUE SHIELD
MD
Enumeration date
08/28/2006
Last updated
08/22/2020
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