Organization
IMAGING CENTER MARYLAND, LLC
Active
Other names
Proscan Imaging Columbia
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN AMAYA (SR DIRECTOR)
(513) 924-5174
Entity
Organization
Contact information
Practice address
8827 CENTRE PARK DR, COLUMBIA, MD 21045-2156
(410) 772-3232
(410) 772-3299
Mailing address
8827 CENTRE PARK DR, COLUMBIA, MD 21045-2156
(410) 772-3232
(410) 772-3299
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
M227
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
358341400
—
MD
01
—
CK8021
RAILROAD MEDICARE
—
Enumeration date
10/28/2005
Last updated
06/12/2008
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