ST. AGNES HEALTHCARE INC. NPI 1780615922

NPI Information

NPI: 1780615922
Provider Name: ST. AGNES HEALTHCARE, INC.

Doing Business As: SETON IMAGING CENTER

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
3449 WILKENS AVE
SUITE 102
BALTIMORE, MD
ZIP 21229
Phone: (667) 234-8675
Get Directions

ST. AGNES HEALTHCARE, INC. is a diagnostic radiology radiology in Baltimore, MD. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. ST. AGNES HEALTHCARE, INC. NPI is 1780615922. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Seton Imaging Center.

The provider's business location address is:

3449 WILKENS AVE
SUITE 102
BALTIMORE, MD
ZIP 21229-281
Phone: (667) 234-8675
Fax: (667) 234-8688

The provider's authorized official is Keith Vander Kolk .
The authorized official title is President/ceo and has the following contact phone number (667) 234-2101.

The enumeration date for this NPI number is 7/5/2006 and was last updated on 2/25/2016.

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
1	2085R0202X	Radiology	Diagnostic Radiology			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	301L	MEDICARE PIN	MARYLAND
2	2161214-20	MEDICAID	MARYLAND
3	CE8752	MEDICARE PIN	MARYLAND

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

NPI Synchronization or Removal

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