MARYLAND IMAGING NETWORK PC NPI 1952138117

NPI Information

  • NPI: 1952138117
  • Provider Name: MARYLAND IMAGING NETWORK PC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Other Name: MIN - O'DONNELL PLACE
  • Address: 10400 ODONNELL PL STE 100
    WALDORF, MD
    ZIP 20603
  • 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 1952138117. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Min - O'donnell Place.

The provider's business location address is:

10400 ODONNELL PL STE 100
WALDORF, MD
ZIP 20603-290
Phone: (410) 298-0454
Fax: (301) 694-2606

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

The enumeration date for this NPI number is 9/19/2024 and was last updated on 12/4/2024.

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
32085R0204XRadiologyVascular & Interventional RadiologyNo

What is NPI?

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

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