MIDATLANTIC DIAGNOSTIC IMAGING CENTERS LLC NPI 1851457246

NPI Information

  • NPI: 1851457246
  • Provider Name: MIDATLANTIC DIAGNOSTIC IMAGING CENTERS LLC
  • Classification: Radiology - 2085B0100X
  • Specialization: Body Imaging
  • Entity Type: Organization
  • Doing Business As: ELICOTT OPEN MRI
  • Address: 3570 SAINT JOHNS LN
    SUITE 104 B
    ELLICOTT CITY, MD
    ZIP 21042
  • Phone: (410) 480-0082

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NPI Details

MIDATLANTIC DIAGNOSTIC IMAGING CENTERS LLC is a body imaging radiology in Ellicott City, MD. The provider is a Radiology doctor of Osteopathy that specializes in Body Imaging. MIDATLANTIC DIAGNOSTIC IMAGING CENTERS LLC NPI is 1851457246. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Elicott Open Mri.

The provider's business location address is:

3570 SAINT JOHNS LN
SUITE 104 B
ELLICOTT CITY, MD
ZIP 21042-020
Phone: (410) 480-0082

The provider's authorized official is John Tucker .
The authorized official title is President and has the following contact phone number (410) 480-0082.

The enumeration date for this NPI number is 12/29/2006 and was last updated on 1/9/2008.

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
12085N0700XRadiologyNeuroradiologyNo
22085B0100XRadiologyBody ImagingYes

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 Other Provider Identifier Issuer
1P00357101MEDICARE PINMARYLAND
2970BELOTHERMARYLANDBLUE SHIELD
3FMX019MEDICARE PINMARYLAND
4K676OTHERDISTRICT OF COLUMBIAGHI

What is NPI?

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This page was last updated on: 11/21/2025

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