MIDATLANTIC DIAGNOSTICS LLC NPI 1609268390

NPI Information

MIDATLANTIC DIAGNOSTICS, LLC is a diagnostic ultrasound radiology in Baltimore, MD. The provider is a Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. MIDATLANTIC DIAGNOSTICS, LLC NPI is 1609268390. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

822 GUILFORD AVE # 210
BALTIMORE, MD
ZIP 21202-707
Phone: (410) 919-4396

The provider's authorized official is Keith Fernandez .
The authorized official title is Administrator and has the following contact phone number (407) 474-9253.

The CLIA number assigned to this NPI record is 21D0869758 - end stage renal disease dialysis with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/4/2015 and was last updated on 3/4/2015.

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:

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