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SYMPHONY DIAGNOSTIC SERVICES NO 1 LLC NPI 1700865094


NPI Information

NPI: 1700865094
Provider Name: SYMPHONY DIAGNOSTIC SERVICES NO 1 LLC

Doing Business As: TRIDENTCARE

Classification: Portable X-ray and/or Other Portable Diagnostic Imaging Supplier - 335V00000X
Entity Type: Organization
Address:
930 RIDGEBROOK RD
3RD FLOOR
SPARKS, MD
ZIP 21152
Phone: (800) 786-8015
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SYMPHONY DIAGNOSTIC SERVICES NO 1 LLC is a portable x ray and or other portable diagnostic imaging supplier in Sparks, MD. The provider is a supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. SYMPHONY DIAGNOSTIC SERVICES NO 1 LLC NPI is 1700865094. The provider is registered as an organization entity type.
The provider Is Doing Business As Tridentcare.

The provider's business location address is:

930 RIDGEBROOK RD
3RD FLOOR
SPARKS, MD
ZIP 21152-390
Phone: (800) 786-8015
Fax: (443) 662-4230

The provider's authorized official is Brian C Cuomo .
The authorized official title is Authorized Official/cfo and has the following contact phone number (800) 786-8015.

The enumeration date for this NPI number is 1/13/2006 and was last updated on 4/19/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0208XClinic/CenterRadiology, MobileNo
2335V00000XPortable X-ray and/or Other Portable Diagnostic Imaging SupplierYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1110029440/AMEDICAIDMASSACHUSETTS
21700865094MEDICAIDMINNESOTA
386000247MEDICAIDKENTUCKY
41519090MEDICAIDTENNESSEE
53085730MEDICAIDNEW HAMPSHIRE
69419801MEDICAIDRHODE ISLAND
7034072900MEDICAIDDISTRICT OF COLUMBIA
80896268MEDICAIDOHIO
91700865094MEDICAIDIOWA
107519206MEDICAIDNEW JERSEY
11100121370AMEDICAIDINDIANA
12100836640CMEDICAIDOKLAHOMA
13100968MEDICAIDALABAMA
141013217769MEDICAIDIDAHO
1525069365MEDICAIDDELAWARE
16100365530AMEDICAIDKANSAS
171700865094MEDICAIDMICHIGAN
182374656MEDICAIDLOUISIANA
193910006821MEDICAIDWEST VIRGINIA
20415092900MEDICAIDMARYLAND
21B7883MEDICAIDNEW MEXICO
2203373273MEDICAIDNEW YORK
23004222098MEDICAIDCONNECTICUT
2419423000MEDICAIDMAINE
253419804MEDICAIDNORTH CAROLINA
264980867MEDICAIDVIRGINIA
27510055100MEDICAIDFLORIDA
289000189649MEDICAIDCOLORADO
29001485908-0006MEDICAIDPENNSYLVANIA
3000320-5515AMEDICAIDGEORGIA
3103106321MEDICAIDMISSISSIPPI
32086063701MEDICAIDTEXAS
33095566MEDICAIDARIZONA
341006117MEDICAIDVERMONT
3542506100MEDICAIDWISCONSIN
36498152MEDICAIDSOUTH CAROLINA
37711934307MEDICAIDMISSOURI

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.