Organization Active NPI

Capital Imaging LLC

  • Diagnostic Radiology Physician
  • Bethesda, MD
National Provider Identifier
1265647176
Registry record updated Apr 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
M225 Issued in MD
Legal business name
CAPITAL IMAGING LLC
Practice address
4927 Auburn Ave
Bethesda, MD 20814-2641
Phone
(301) 718-3411
Fax
(301) 718-0805
NPI assigned
May 14, 2007
Last updated
Apr 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2010

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

Authorized official

Name
Mr. Andrew Komiske
Title
President
Phone
(301) 519-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X M225 MD Primary

Addresses

Primary practice location

4927 Auburn Ave
Bethesda, MD 20814-2641

Mailing address

4927 Auburn Ave
Bethesda, MD 20814-2641
Phone (301) 718-3411

National Provider Directory

National Provider Directory

Locations

4927 Auburn Ave
Bethesda, MD 20814
Phone (301) 718-3411

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270080000000",
    "number": "1265647176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4927 AUBURN AVE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142641",
            "telephone_number": "301-718-3411",
            "fax_number": "301-718-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4927 AUBURN AVE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142641",
            "telephone_number": "301-718-3411",
            "fax_number": "301-718-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2010-04-01",
        "status": "A",
        "authorized_official_last_name": "KOMISKE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-519-9200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "M225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; 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.