Organization
ALLEGANY IMAGING, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARON L BAER (PRACTICE ADMINISTRATOR)
(240) 964-1035
Entity
Organization
Contact information
Practice address
RT 28 HUNT CLUB PLAZA, RIDGELEY, WV 26753
(304) 726-4501
Mailing address
PO BOX 3206, LAVALE, MD 21504-3206
(240) 964-1035
(240) 964-1105
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
261QR0200X
Radiology Clinic/Center
—
—
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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