NPIMap

Organization Active NPI

Cardio Vascular Center, LLC

  • Mobile Radiology Clinic/Center
  • Oxon Hill, MD
National Provider Identifier
1275723488
Registry record updated Aug 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
License
D0015765 Issued in MD
Legal business name
CARDIO VASCULAR CENTER, LLC
Practice address
6228 Oxon Hill Rd
Oxon Hill, MD 20745-3033
Phone
(301) 870-3626
Fax
(301) 392-6978
NPI assigned
Jul 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2008

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

Authorized official

Name
Dr. Abdul Habib Fadul, M.D.NPI 1841394954
Title
Owner
Phone
(301) 870-3626

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
Mobile Radiology Clinic/Center 261QR0208X D0015765 MD Primary

Addresses

Primary practice location

6228 Oxon Hill Rd
Oxon Hill, MD 20745-3033

Mailing address

6228 Oxon Hill Rd
P.O. Box 1098
Oxon Hill, MD 20745-3033
Phone (301) 870-3626

Other identifiers 3

IdentifierTypeStateIssuer
172300600MedicaidMD
000100153MedicaidVA
026722100MedicaidDC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219795200000",
    "number": "1275723488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6228 OXON HILL RD",
            "address_2": "P.O. BOX 1098",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453033",
            "telephone_number": "301-870-3626",
            "fax_number": "301-392-6978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6228 OXON HILL RD",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453033",
            "telephone_number": "301-870-3626",
            "fax_number": "301-392-6978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIO VASCULAR CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2008-08-27",
        "status": "A",
        "authorized_official_last_name": "FADUL",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_middle_name": "HABIB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-870-3626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "MD",
            "license": "D0015765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172300600",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000100153",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026722100",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxon Hill, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; 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.