Organization
SHIPLEY'S IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN M SCOTT (EXECUTIVDE DIRECTOR)
(443) 481-5335
Entity
Organization
Contact information
Practice address
8601 VETERANS HWY, SUITE 100, MILLERSVILLE, MD 21108-1547
(410) 729-4451
(410) 729-4470
Mailing address
SHIPLEY'S IMAGING, LLC, PO BOX 404442, ATLANTA, GA 30384-4442
(804) 756-5130
(804) 672-6899
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ACR 13107
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110800000
—
MD
01
—
147397700
FEDERAL WORKMAN'S COMP
MD
01
—
3811
CAREFIRST BCBS
DC
01
—
CN6292
RAILROAD MEDICARE
—
01
—
KC46SH
CAREFIRST
MD
Enumeration date
11/30/2005
Last updated
07/30/2012
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