MARYLAND IMAGING NETWORK PC NPI 1699516161

NPI Information

  • NPI: 1699516161
  • Provider Name: MARYLAND IMAGING NETWORK PC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Address: 3510 OLD WASHINGTON RD STE 101
    WALDORF, MD
    ZIP 20602
  • Phone: (410) 298-0454

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NPI Details

MARYLAND IMAGING NETWORK PC is a diagnostic radiology radiology in Waldorf, MD. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MARYLAND IMAGING NETWORK PC NPI is 1699516161. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3510 OLD WASHINGTON RD STE 101
WALDORF, MD
ZIP 20602-234
Phone: (410) 298-0454
Fax: (443) 436-1214

The provider's authorized official is John Vernon Crues .
The authorized official title is Owner and has the following contact phone number (310) 445-2843.

The enumeration date for this NPI number is 6/6/2024 and was last updated on 6/6/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207U00000XNuclear MedicineNo
22085R0202XRadiologyDiagnostic RadiologyYes

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: 11/21/2025

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