| Organization Name: | PENINSULA IMAGING L.L.C. |
| NPI Number: | 1851359707 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PETER A. LIBBY (PRESIDENT) |
| Mailing Address: | 1655 Woodbrooke Dr Suite 101 Salisbury |
| State: | MD US |
| Postal Code: | 218048502 |
| Phone Number: | 4107491123 |
| Fax Number: | 4105431065 |
| NPI Enumeration Date: | 05/02/2006 |
| NPI Last Update Date: | 05/28/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |