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LIVE RADIOLOGY LLC NPI 1417131467


NPI Information

NPI: 1417131467
Provider Name: LIVE RADIOLOGY, LLC
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
176 THOMAS JOHNSON DR
SUITE 103
FREDERICK, MD
ZIP 21702
Phone: (301) 694-2630
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LIVE RADIOLOGY, LLC is a radiology clinic center in Frederick, MD. LIVE RADIOLOGY, LLC NPI is 1417131467. The provider is registered as an organization entity type.

The provider's business location address is:

176 THOMAS JOHNSON DR
SUITE 103
FREDERICK, MD
ZIP 21702-410
Phone: (301) 694-2630
Fax: (301) 694-2307

The provider's authorized official is William Bonde .
The authorized official title is Managing Member and has the following contact phone number (301) 694-2630.

The enumeration date for this NPI number is 12/27/2007 and was last updated on 12/27/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0200XClinic/CenterRadiologyM369MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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