NPIMap

Organization Active NPI

Union Hospital of Cecil County

Doing business as Open MRI and Imaging at Principio-Labs

  • Clinical Medical Laboratory
  • Perryville, MD
National Provider Identifier
1417313743
Registry record updated Dec 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
UNION HOSPITAL OF CECIL COUNTY
Doing business as
Open MRI and Imaging at Principio-Labs
Practice address
4863 Pulaski Hwy
Ste 100
Perryville, MD 21903-1622
Phone
(410) 642-3014
NPI assigned
Dec 31, 2015
Last updated
Dec 31, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2015

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

Authorized official

Name
Edward Henry
Title
VP, Provider Enterprise
Phone
(410) 398-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

4863 Pulaski Hwy
Ste 100
Perryville, MD 21903-1622

Mailing address

PO Box 156
Elkton, MD 21922-0156

Other names 1

  • Open MRI and Imaging at Principio-Labs Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2057582Open MRI and Imaging at Principio4863 Pulaski Hwy Ste 100, Perryville, MD 21903Certificate of waiverFeb 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
Edgar Folk III MD38 organizations share this tax ID, including this one

Other organizations with this tax ID 37

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

View all 37

Locations

4863 Pulaski Hwy
Ste 100
Perryville, MD 21903
Phone (410) 378-2759

NPI Registry JSON

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

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451520000000",
    "number": "1417313743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 156",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219220156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4863 PULASKI HWY",
            "address_2": "STE 100",
            "city": "PERRYVILLE",
            "state": "MD",
            "postal_code": "219031622",
            "telephone_number": "410-642-3014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION HOSPITAL OF CECIL COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-31",
        "last_updated": "2015-12-31",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "VP, PROVIDER ENTERPRISE",
        "authorized_official_telephone_number": "410-398-4000"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Open MRI and Imaging at Principio-Labs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Perryville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.