NPIMap

Organization Active NPI

Diagnostic Imaging Associates, LLC

  • Diagnostic Radiology Physician
  • Lanham, MD
National Provider Identifier
1477591873
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
DIAGNOSTIC IMAGING ASSOCIATES, LLC
Practice address
8118 Good Luck Rd
Lanham, MD 20706-3595
Phone
(301) 249-0022
NPI assigned
Jun 4, 2006
Last updated
Apr 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

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

Authorized official

Name
Mr. Benjamin StallingsNPI 1518985308
Title
MD/Practice Administrator
Phone
(301) 249-0022

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Radiology Physician 2085N0904X NU
Diagnostic Radiology Physician 2085R0202X NU Primary
Vascular & Interventional Radiology Physician 2085R0204X NU
Diagnostic Ultrasound Physician 2085U0001X NU

Addresses

Primary practice location

8118 Good Luck Rd
Lanham, MD 20706-3595

Mailing address

PO Box 79915
Baltimore, MD 21279-0915
Phone (443) 274-2900

Other identifiers 3

IdentifierTypeStateIssuer
403703102MedicaidMD
7926OtherDCBCBS GROUP PROVIDER #
H800DIOtherMDBCBS GROUP PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031231000549 DC Part B Supplier - Clinic/Group Practice 1658277348 Receives reassigned benefits from 8 practitioners
Practice locations: Largo, MD; Lanham, MD

National Provider Directory

National Provider Directory
Tax ID family
Diagnostic Imaging Associates3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

8116 Good Luck Rd
Ste 101
Lanham, MD 20706
Phone (301) 249-0022

8220 Good Luck Rd
Lanham, MD 20706
Phone (301) 459-7990

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396396800000",
    "number": "1477591873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 79915",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212790915",
            "telephone_number": "443-274-2900",
            "fax_number": "443-274-2391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8118 GOOD LUCK RD",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063595",
            "telephone_number": "301-249-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC IMAGING ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2014-04-02",
        "status": "A",
        "authorized_official_last_name": "STALLINGS",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "MD/PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "301-249-0022",
        "authorized_official_name_prefix": "Mr."
    },
    "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
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "403703102",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP PROVIDER #",
            "identifier": "7926",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP PROVIDER #",
            "identifier": "H800DI",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.