Bon Secours Hospital-Mobile MRI

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

License

M348 Issued in MD

Legal business name

BON SECOURS HOSPITAL-MOBILE MRI

Practice address

2600 Liberty Heights Ave
1St Floor
Baltimore, MD 21215-7804

Phone

(410) 362-3000

NPI assigned

Dec 18, 2006

Last updated

Aug 7, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas John O'Connell

Title

Director

Phone

(410) 362-4499

Specialties & licenses 1

Addresses

Tax ID family

Bon Secours Hospital-Mobile MRI2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Urban Medical Institute

  • Community Health Clinic/Center
  • Baltimore, MD
  • NPI 1396950911
  NPD tax ID

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1578626792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 W BALTIMORE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212231558",
            "telephone_number": "410-362-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 LIBERTY HEIGHTS AVE",
            "address_2": "1ST FLOOR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212157804",
            "telephone_number": "410-362-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BON SECOURS HOSPITAL-MOBILE MRI",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "O'CONNELL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "410-362-4499"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "MD",
            "license": "M348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Bomasang-Layno, M.D.
• Michael Bombardier, PHD
• Deepthi K Bommadevara, M.D; M.P.H
• Bon Secours
• Bon Secours Baltimore Physician Group LLC
• Julia T Bonacum, MD
• Hugo Bonatti, MD
• Stephanie Lynn Boncich, MSN, CRNA
• Cassandra Bond
• Christina Bond

• Magnetic Resonance Imaging (MRI) Clinic/Center in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.