Active NPI
Maryland Diagnostic Services, Inc.
- Electroneurodiagnostic Specialist/Technologist
- Timonium, MD
National Provider Identifier
1073511655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- Legal business name
- MARYLAND DIAGNOSTIC SERVICES, INC.
- Practice address
- 101 W Ridgely Rd
7B
Timonium, MD 21093-5101 - Phone
- (410) 628-6046
- NPI assigned
- Jul 8, 2005
- Last updated
- Sep 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael Coren
- Title
- President
- Phone
- (215) 354-1260
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Specialist/Technologist Cardiovascular | 246XC2903X | |||
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | Primary | ||
| Sonography Radiologic Technologist | 2471S1302X | |||
| Vascular Sonography Radiologic Technologist | 2471V0105X |
Addresses
Primary practice location
101 W Ridgely Rd
7B
Timonium, MD 21093-5101
Mailing address
853 Second Street Pike
B104
Richboro, PA 18954-1082
Phone (215) 354-1260
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111523 | Other | MD | AETNA |
| H444MA | Other | MD | CAREFIRST BC/BS |
| E509 | Other | MD | CAREFIRST BLUECHOICE |
National Provider Directory
National Provider DirectoryLocations
101 W Ridgely Rd
Ste 7B
Timonium, MD 21093
Phone (410) 628-6046
853 2nd Street Pike
Ste B104
Richboro, PA 18954
Phone (215) 322-7800
Practitioners & affiliated clinicians
Practitioners 7
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.
-
- Cardiovascular Disease Physician
- Towson, MD
- NPI 1013910454
-
- Cardiovascular Disease Physician
- Towson, MD
- NPI 1477556793
-
- Diagnostic Radiology Physician
- Clinton, MD
- NPI 1154484608
-
- Neurology Physician
- Towson, MD
- NPI 1396746640
-
- Cardiovascular Disease Physician
- Baltimore, MD
- NPI 1235123290
-
- Vascular Surgery Physician
- Hialeah, FL
- NPI 1780652727
-
- Diagnostic Radiology Physician
- Washington, DC
- NPI 1457475105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120780800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1073511655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "853 SECOND STREET PIKE",
"address_2": "B104",
"city": "RICHBORO",
"state": "PA",
"postal_code": "189541082",
"telephone_number": "215-354-1260",
"fax_number": "215-354-1266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 W RIDGELY RD",
"address_2": "7B",
"city": "TIMONIUM",
"state": "MD",
"postal_code": "210935101",
"telephone_number": "410-628-6046"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARYLAND DIAGNOSTIC SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-08",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "COREN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "215-354-1260",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "246XC2903X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist Cardiovascular, Vascular Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "246ZE0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": null,
"license": null,
"primary": true
},
{
"code": "2471S1302X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiologic Technologist, Sonography",
"state": null,
"license": null,
"primary": false
},
{
"code": "2471V0105X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiologic Technologist, Vascular Sonography",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "111523",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BC/BS",
"identifier": "H444MA",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BLUECHOICE",
"identifier": "E509",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Timonium, MD
- Katelynn Nicole Marshall
- Sylvia Aletha Marshall
- Rodney D Martin, DDS
- Maryam Khan MD LLC
- Maryland and Virginia Phlebology PC
- Maryland Endodontic Group, P.C.
- Maryland Family Care, Inc.
- Maryland Family Care, Inc.
- Maryland Sportscare & Rehab, LLC (Pivot Physical Therapy of Maryland)
- Sabeen Matalka, LCPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.