Organization
LIGHTSPEED RADIOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOURREDDINE GUAO GUAOUGUAOU MD (PRESIDENT)
(703) 851-4310
Entity
Organization
Contact information
Practice address
9135 PISCATAWAY RD, CLINTON, MD 20735-2549
(419) 796-0306
Mailing address
PO BOX 54, MOUNT AIRY, MD 21771-0054
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
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