NPIMap

Organization Active NPI

Vascular Imaging Associates,LLC

  • Vascular Sonography Radiologic Technologist
  • Upper Marlboro, MD
National Provider Identifier
1093907438
Registry record updated Apr 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Sonography Radiologic TechnologistTaxonomy code 2471V0105X
License
R45875 Issued in MD
Legal business name
VASCULAR IMAGING ASSOCIATES,LLC
Practice address
10408 Pookey Way
Upper Marlboro, MD 20774-6043
Phone
(202) 368-9910
NPI assigned
Aug 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2016

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

Authorized official

Name
Mark K Bates, RVTNPI 1750573192
Title
President
Phone
(202) 368-9910

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Sonography Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 2471V0105X R45875 MD Primary

Addresses

Primary practice location

10408 Pookey Way
Upper Marlboro, MD 20774-6043

Mailing address

116 Defense Hwy
Suite 104
Annapolis, MD 21401-7027
Phone (202) 368-9910

National Provider Directory

National Provider Directory

Locations

116 Defense Hwy
Ste 104
Annapolis, MD 21401
Phone (410) 897-0560

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461801600000",
    "number": "1093907438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 DEFENSE HWY",
            "address_2": "SUITE 104",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017027",
            "telephone_number": "202-368-9910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10408 POOKEY WAY",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207746043",
            "telephone_number": "202-368-9910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR IMAGING ASSOCIATES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-09",
        "last_updated": "2016-04-28",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-368-9910",
        "authorized_official_credential": "RVT"
    },
    "taxonomies": [
        {
            "code": "2471V0105X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": "MD",
            "license": "R45875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; 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.