Organization
DIAGNOSTIC OUTPATIENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER DUGAN (PRACTICE ADMINISTRATOR)
(301) 249-0022
Entity
Organization
Contact information
Practice address
8116 GOOD LUCK RD, SUITE 101, LANHAM, MD 20706-3502
(301) 249-0022
Mailing address
PO BOX 79915, BALTIMORE, MD 21279-0915
(301) 498-2922
(301) 498-3074
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
—
403703100
—
MD
01
—
7926
BCBS-DC GROUP #
DC
01
—
H800DI
BCBS-DC GROUP #
MD
Enumeration date
11/03/2009
Last updated
11/03/2009
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