NPIMap

Organization Active NPI

Imaging Associates of Western Maryland, LP

Doing business as Diagnostic Health Frederick

  • Physiological Laboratory
  • Frederick, MD
National Provider Identifier
1003865510
Registry record updated Mar 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
IMAGING ASSOCIATES OF WESTERN MARYLAND, LP
Doing business as
Diagnostic Health Frederick
Practice address
110 Baughmans LN
Suite 120
Frederick, MD 21702-4011
Phone
(301) 662-0077
Fax
(301) 662-1034
NPI assigned
May 10, 2006
Last updated
Mar 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Miss Donna Leigh Burch
Title
Credentialing Specialist
Phone
(205) 981-4814

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

110 Baughmans LN
Suite 120
Frederick, MD 21702-4011

Mailing address

22 Inverness Center Pkwy
Suite 425
Birmingham, AL 35242-4814
Phone (205) 981-4814

Other names 1

  • Diagnostic Health Frederick Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299542400000",
    "number": "1003865510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 INVERNESS CENTER PKWY",
            "address_2": "SUITE 425",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352424814",
            "telephone_number": "205-981-4814",
            "fax_number": "205-994-7021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BAUGHMANS LN",
            "address_2": "SUITE 120",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024011",
            "telephone_number": "301-662-0077",
            "fax_number": "301-662-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGING ASSOCIATES OF WESTERN MARYLAND, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2011-03-08",
        "status": "A",
        "authorized_official_last_name": "BURCH",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "205-981-4814",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diagnostic Health Frederick",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.