Organization
UNIVERSITY OF MARYLAND DIAGNOSTIC IMAGING SPECIALISTS P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI CLOSE (ASSOCIATE ADMINISTRATOR)
(410) 328-9130
Entity
Organization
Contact information
Practice address
950 HARRY S TRUMAN DRIVE NORTH, SUITE 150, LARGO, MD 20774
(240) 471-3200
Mailing address
110 S PACA ST RM 2-S135, BALTIMORE, MD 21201-1642
(410) 328-9130
(410) 328-1190
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
2085P0229X
Pediatric Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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