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Organization

OLNEY OPEN MRI LLC

Active
Other names
Progressive Radiology
Organization subpart
No

Provider details

NPI number
Authorized official
ADAM STARR (CEO)
(703) 667-8612
Entity
Organization

Contact information

Practice address
3300 OLNEY SANDY SPRING RD, SUITE 100, OLNEY, MD 20832-1494
(301) 260-2971
(301) 260-7971
Mailing address
PO BOX 64354, BALTIMORE, MD 21264
(703) 667-8612
(703) 970-2894

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2471C3402X
Radiography Radiologic Technologist
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
403940801
MD
Enumeration date
02/01/2007
Last updated
09/20/2017
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