Capital Imaging LLC

Organization Active NPI Diagnostic Radiology Physician · Bethesda, MD

NPI 1265647176 · NPPES record last updated Apr 1, 2010

Key facts

NPI
1265647176
Entity type
Organization (NPI type 2)
Primary specialty
Diagnostic Radiology Physician 2085R0202X
License
M225 (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
Organization subpart
No

Authorized official

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

National Provider Directory

Locations

4927 Auburn Ave
Ste T25
Bethesda, MD 20814
Phone (301) 718-3411

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
2085R0202X M225 MD Yes

Addresses

Primary practice location

4927 Auburn Ave
Bethesda, MD 20814-2641

Mailing address

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

Other identifiers

IdentifierTypeStateIssuer
408829800MedicaidMD

Other providers in Bethesda, MD

All providers in Bethesda, MD · Diagnostic Radiology Physician in Maryland

Sources for this page

Verify at the official NPI Registry.