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MID-ATLANTIC MOBILE MEDICAL IMAGING LLC. NPI 1164192365


NPI Information

NPI: 1164192365
Provider Name: MID-ATLANTIC MOBILE MEDICAL IMAGING, LLC.
Classification: Nuclear Medicine - 207UN0901X
Entity Type: Organization

Specialization: Nuclear Cardiology

Address:
5276 DAWES AVE
ALEXANDRIA, VA
ZIP 22311
Phone: (571) 777-8494
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MID-ATLANTIC MOBILE MEDICAL IMAGING, LLC. is a nuclear cardiology nuclear medicine in Alexandria, VA. The provider is a nuclear medicine physician who specializes in nuclear cardiology. MID-ATLANTIC MOBILE MEDICAL IMAGING, LLC. NPI is 1164192365. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5276 DAWES AVE
ALEXANDRIA, VA
ZIP 22311-404
Phone: (571) 777-8494
Fax: (571) 777-8493

The provider's authorized official is Fikremariam Sebsibe .
The authorized official title is Managing Director and has the following contact phone number (301) 395-3055.

The enumeration date for this NPI number is 9/18/2021 and was last updated on 9/18/2021.


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
1207UN0901XNuclear MedicineNuclear CardiologyYes

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: 5/5/2024

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