Organization Name: | MARYLAND DIAGNOSTIC SERVICES, INC. |
NPI Number: | 1073511655 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL COREN (PRESIDENT) |
Mailing Address: | 101 W Ridgely Rd 7b Timonium |
State: | MD US |
Postal Code: | 210935101 |
Phone Number: | 4106286046 |
Fax Number: | |
NPI Enumeration Date: | 07/08/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2471V0105X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Radiologic Technologist |
Taxonomy Specialization: | Vascular Sonography |
Taxonomy Definition: |