Vymed Diagnostic Imamaging/Salisbury LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

D10503 Issued in MD

Legal business name

VYMED DIAGNOSTIC IMAMAGING/SALISBURY LLC

Practice address

200 B East Vine Street
Salisbury, MD 21804

Phone

(813) 496-1075

Fax

(813) 249-7762

NPI assigned

Jul 9, 2006

Organization subpart

No

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

Authorized official

Name

Lyle Sensenbrenner, MD

Title

Medical Director

Phone

(813) 496-1075

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447283536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4519 GEORGE RD",
            "address_2": "STE 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336347329",
            "telephone_number": "813-496-1075",
            "fax_number": "813-249-7762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 B EAST VINE STREET",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "21804",
            "telephone_number": "813-496-1075",
            "fax_number": "813-249-7762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VYMED DIAGNOSTIC IMAMAGING/SALISBURY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SENSENBRENNER",
        "authorized_official_first_name": "LYLE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "813-496-1075",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "MD",
            "license": "D10503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Radiology Clinic/Center in Salisbury, MD
• Providers in Salisbury, MD by specialty
• Radiology Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.