NPIMap

Organization Active NPI

Profesional Medical Imaging Solutions LLC

Doing business as PET Imaging at White Marsh

  • Diagnostic Radiology Physician
  • Baltimore, MD
National Provider Identifier
1477586055
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
PROFESIONAL MEDICAL IMAGING SOLUTIONS LLC
Doing business as
PET Imaging at White Marsh
Practice address
9900 Franklin Square Dr
Baltimore, MD 21236-5915
Phone
(410) 931-4738
Fax
(410) 931-2989
NPI assigned
Jul 8, 2006
Last updated
Jan 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Authorized official

Name
Robert Mulreansy
Title
President
Phone
(410) 931-4738

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Radiology Physician 2085N0904X NU
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

9900 Franklin Square Dr
Baltimore, MD 21236-5915

Mailing address

9900 Franklin Square Dr
Baltimore, MD 21236-5915
Phone (410) 931-4738

Other identifiers 2

IdentifierTypeStateIssuer
S354OtherDCBLUE SHIELD
KBB6PEOtherMDBLUE SHIELD

Other names 1

  • PET Imaging at White Marsh Doing business as

National Provider Directory

National Provider Directory

Locations

9900 Franklin Square Dr
Nottingham, MD 21236
Phone (410) 931-4738

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1477586055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 FRANKLIN SQUARE DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212365915",
            "telephone_number": "410-931-4738",
            "fax_number": "410-931-2989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 FRANKLIN SQUARE DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212365915",
            "telephone_number": "410-931-4738",
            "fax_number": "410-931-2989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESIONAL MEDICAL IMAGING SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "MULREANSY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-931-4738"
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "S354",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "KBB6PE",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PET Imaging at White Marsh",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.