PROSCAN RADIOLOGY LLC NPI 1679638811

NPI Information

  • NPI: 1679638811
  • Provider Name: PROSCAN RADIOLOGY, LLC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Doing Business As: IMAGING CENTER MARYLAND
  • Address: 8827 CENTRE PARK DR
    COLUMBIA, MD
    ZIP 21045
  • Phone: (410) 772-3232

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NPI Details

PROSCAN RADIOLOGY, LLC is a diagnostic radiology radiology in Columbia, MD. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. PROSCAN RADIOLOGY, LLC NPI is 1679638811. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Imaging Center Maryland.

The provider's business location address is:

8827 CENTRE PARK DR
COLUMBIA, MD
ZIP 21045-156
Phone: (410) 772-3232

The provider's authorized official is Ruth N Wallace .
The authorized official title is Cfo and has the following contact phone number (513) 924-5183.

The enumeration date for this NPI number is 12/27/2006 and was last updated on 8/22/2020.

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
12085R0202XRadiologyDiagnostic RadiologyYes

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: 3/30/2025

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