Organization
F. DANIEL JACKSON, MD, PA
Active
Other names
The Imaging Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. F. DANIEL JACKSON MD, PA (PRESIDENT/OWNER)
(301) 759-3410
Entity
Organization
Contact information
Practice address
715 WILLIAMS STREET, CUMBERLAND, MD 21502
(301) 759-3410
(301) 759-3522
Mailing address
PO BOX 1692, CUMBERLAND, MD 21501-1692
(301) 759-3817
(301) 759-3043
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261QR0200X
Radiology Clinic/Center
Primary
D0020433
MD
261QR0200X
Radiology Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305591400
—
MD
05
—
440082800
—
MD
Enumeration date
07/23/2007
Last updated
05/17/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us