NPIMap

Organization Active NPI

Diagnostic Imaging Services, LLC

  • Radiology Clinic/Center
  • Hagerstown, MD
National Provider Identifier
1114982808
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
DIAGNOSTIC IMAGING SERVICES, LLC
Practice address
11110 Medical Campus Rd
Suite 204
Hagerstown, MD 21742-6700
Phone
(301) 714-4200
Fax
(301) 714-4201
NPI assigned
Apr 18, 2006
Last updated
Sep 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Authorized official

Name
Mr. Michael S Zampelli
Title
Chief Operating Officer
Phone
(301) 739-6147

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X MD Primary
Mammography Clinic/Center 261QR0206X MD

Addresses

Primary practice location

11110 Medical Campus Rd
Suite 204
Hagerstown, MD 21742-6700

Mailing address

10715 Downsville Pike Ste 103
Hagerstown, MD 21740-7240
Phone (301) 739-6147

Other practice location 1

1110 Professional Ct
Hagerstown, MD 21740-5826
Phone (301) 714-4200

Other practice location 2

11110 Medical Campus Rd Ste 245
Hagerstown, MD 21742-6797
Phone (301) 714-4200

Other practice location 3

11110 Medical Campus Rd Ste 222
Hagerstown, MD 21742-6797
Phone (301) 714-4200

Other practice location 4

1101 Opal Ct
Hagerstown, MD 21740-5941
Phone (301) 714-4200

Other practice location 5

13620 Crayton Blvd
Hagerstown, MD 21742-2335
Phone (301) 714-4200

Other identifiers 1

IdentifierTypeStateIssuer
076321700MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, AZ, DC, FL, CA, PA6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
O20031222000403 MD Part B Supplier - Clinic/Group Practice 9739087214 Receives reassigned benefits from 23 practitioners
Practice locations: Baltimore, MD; Ellicott City, MD; Hagerstown, MD
O20180516000995 AZ Part B Supplier - Clinic/Group Practice 9739087214 Receives reassigned benefits from 1 practitioner
Practice locations: Mesa, AZ
O20201210000884 DC Part B Supplier - Clinic/Group Practice 9739087214 Receives reassigned benefits from 1 practitioner
Practice locations: Silver Spring, MD
O20201211000861 FL Part B Supplier - Clinic/Group Practice 9739087214 Receives reassigned benefits from 1 practitioner
Practice locations: Pinecrest, FL
O20201216001139 CA Part B Supplier - Clinic/Group Practice 9739087214 Receives reassigned benefits from 1 practitioner
Practice locations: Clovis, CA
O20210608000076 PA Part B Supplier - Clinic/Group Practice 9739087214 Receives reassigned benefits from 1 practitioner
Practice locations: Huntingdon Valley, PA

National Provider Directory

National Provider Directory
Tax ID family
Associated Radiologists PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1101 Opal Ct
Ste 111
Hagerstown, MD 21740

1110 Professional Ct
Ste 200
Hagerstown, MD 21740
Phone (240) 313-9870

11110 Medical Campus Rd
Ste 104
Hagerstown, MD 21742

11110 Medical Campus Rd
Ste 222
Hagerstown, MD 21742
Phone (301) 714-4200

11110 Medical Campus Rd
Ste 245
Hagerstown, MD 21742
Phone (301) 714-4200

13424 Pennsylvania Ave
Ste 104
Hagerstown, MD 21742
Phone (240) 313-3100

Practitioners & affiliated clinicians

Practitioners 42

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.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1114982808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10715 DOWNSVILLE PIKE STE 103",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217407240",
            "telephone_number": "301-739-6147",
            "fax_number": "301-739-6163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11110 MEDICAL CAMPUS RD",
            "address_2": "SUITE 204",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217426700",
            "telephone_number": "301-714-4200",
            "fax_number": "301-714-4201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1110 Professional Ct",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217405826",
            "country_code": "US",
            "telephone_number": "301-714-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11110 Medical Campus Rd Ste 245",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217426797",
            "country_code": "US",
            "telephone_number": "301-714-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11110 Medical Campus Rd Ste 222",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217426797",
            "country_code": "US",
            "telephone_number": "301-714-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 Opal Ct",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217405941",
            "country_code": "US",
            "telephone_number": "301-714-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13620 Crayton Blvd",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217422335",
            "country_code": "US",
            "telephone_number": "301-714-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIAGNOSTIC IMAGING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "ZAMPELLI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "301-739-6147",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "MD",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": "MD",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "076321700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.