Organization Active NPI

Dedicated Imaging of Baltimore

  • Diagnostic Radiology Physician
  • Baltimore, MD
National Provider Identifier
1487654398
Registry record updated Dec 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
DEDICATED IMAGING OF BALTIMORE
Practice address
1030 N. Charles St.
Suite 100
Baltimore, MD 21201-5402
Phone
(410) 605-9393
Fax
(410) 605-9397
NPI assigned
Jul 21, 2005
Last updated
Dec 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2011

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

Authorized official

Name
Ms. Edith Delores Pearson
Title
Office Manager
Phone
(410) 605-9393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD Primary

Addresses

Primary practice location

1030 N. Charles St.
Suite 100
Baltimore, MD 21201-5402

Mailing address

1030 N. Charles St.
Suite 100
Baltimore, MD 21201-5402
Phone (410) 605-9393

National Provider Directory

National Provider Directory

Locations

1020 N Charles St
Baltimore, MD 21201
Phone (410) 531-1482

1030 N Charles St
Ste 100
Baltimore, MD 21201
Phone (410) 605-9393

10700 Charter Dr
Ste 120
Columbia, MD 21044
Phone (410) 740-9393

10840 Little Patuxent Pkwy
Ste 202
Columbia, MD 21044
Phone (410) 740-9393

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323907200000",
    "number": "1487654398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 N. CHARLES ST.",
            "address_2": "SUITE 100",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212015402",
            "telephone_number": "410-605-9393",
            "fax_number": "410-605-9397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 N. CHARLES ST.",
            "address_2": "SUITE 100",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212015402",
            "telephone_number": "410-605-9393",
            "fax_number": "410-605-9397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEDICATED IMAGING OF BALTIMORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-21",
        "last_updated": "2011-12-15",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "EDITH",
        "authorized_official_middle_name": "DELORES",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "410-605-9393",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 15, 2011; 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.