NPIMap

Organization Active NPI

Conception Center, Inc.

  • Radiology Clinic/Center
  • Rockville, MD
National Provider Identifier
1104380658
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
CONCEPTION CENTER, INC.
Practice address
3202 Tower Oaks Blvd Ste 370a
Rockville, MD 20852-4219
Phone
(301) 804-0005
NPI assigned
Jan 29, 2019
Organization subpart
Yes
Parent organization
CONCEPTION LAB, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 30, 2019

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

Authorized official

Name
Oluyemisi Adesanya Famuyiwa, MD
Title
President
Phone
(301) 804-0005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

3202 Tower Oaks Blvd Ste 370a
Rockville, MD 20852-4219

Mailing address

3202 Tower Oaks Blvd Ste 370
Rockville, MD 20852-4296
Phone (301) 804-0005

Other names 1

  • Conception Lab, Inc. Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Conception Center Inc3 organizations share this tax ID, including this one
Part of
Conception Center Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1548720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548806400000",
    "number": "1104380658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3202 TOWER OAKS BLVD STE 370",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524296",
            "telephone_number": "301-804-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3202 TOWER OAKS BLVD STE 370A",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524219",
            "telephone_number": "301-804-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCEPTION CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CONCEPTION LAB, INC.",
        "enumeration_date": "2019-01-29",
        "last_updated": "2019-01-30",
        "status": "A",
        "authorized_official_last_name": "FAMUYIWA",
        "authorized_official_first_name": "OLUYEMISI",
        "authorized_official_middle_name": "ADESANYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-804-0005",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Conception Lab, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Conception Lab, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; 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.