21D2118250 CLIA NUMBER - MEDSTAR RADIOLOGY NETWORK AT BRANDYWINE

Laboratory Demographics

CLIA Number: 21D2118250

Facility Name: MEDSTAR RADIOLOGY NETWORK AT BRANDYWINE

Facility Address:
13950 BRANDYWINE ROAD
BRANDYWINE, MD
ZIP 20613
Get Directions

Facility Phone Number: 240 546-3000

Facility Type: Other - FREE STANDING IMAGING CTR

Certificate Type: Waiver

NPI Number: 1346604295

Taxonomy: 2085R0202X - Radiology
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

CLIA Record

Field Name	Field Value
CLIA Number	21D2118250
LAB Type	Other - FREE STANDING IMAGING CTR
Facility Name	MEDSTAR RADIOLOGY NETWORK AT BRANDYWINE
Street	13950 BRANDYWINE ROAD
City	BRANDYWINE
State	MD
ZIP	20613
Phone	240 546-3000
CertificateType	4
CertificateEffectiveDate	9/2/2022
CertificateExpirationDate	9/1/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024