Organization
ST AGNES HEALTHCARE INC
Active
Parent organization
ASCENSION HEALTH
Other names
Ascension Saint Agnes Imaging Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASCENSION HEALTH
Authorized official
MR. WILLIAM B HIGGINBOTHAM (PRESIDENT/CEO)
(667) 234-3162
Entity
Organization
Contact information
Practice address
3449 WILKENS AVE, SUITE 102, BALTIMORE, MD 21229-5281
(667) 234-8675
(667) 234-8688
Mailing address
3449 WILKENS AVE STE 102, BALTIMORE, MD 21229-5216
(667) 234-8675
(667) 234-8688
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2161214-20
—
MD
Enumeration date
07/05/2006
Last updated
02/09/2026
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