Diagnostic Imaging Inc

Organization Active NPI Vascular Surgery Physician · Boyds, MD

NPI 1043340672 · NPPES record last updated Nov 28, 2010

Key facts

NPI
1043340672
Entity type
Organization (NPI type 2)
Primary specialty
Vascular Surgery Physician 2086S0129X
Legal business name
DIAGNOSTIC IMAGING INC
Practice address
15119 Ganley Rd
Boyds, MD 20841-9466
Phone
(301) 515-1264
Fax
(301) 515-0069
NPI assigned
Mar 6, 2007
Organization subpart
No

Authorized official

Name
Mr. John Landon Carter, RVT RDCS
Title
President
Phone
(301) 801-8800

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

15215 Shady Grove Rd
Ste 305
Rockville, MD 20850
Phone (301) 216-0908

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RC0000X
Vascular Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP
2086S0129X Yes

Addresses

Primary practice location

15119 Ganley Rd
Boyds, MD 20841-9466

Mailing address

15119 Ganley Rd
Boyds, MD 20841-9466
Phone (301) 515-1264

Other providers in Boyds, MD

All providers in Boyds, MD · Vascular Surgery Physician in Maryland

Sources for this page

Verify at the official NPI Registry.