NPIMap

Organization Active NPI

The MRI Center at White Marsh, LLC

  • Diagnostic Radiology Physician
  • Nottingham, MD
National Provider Identifier
1598756645
Registry record updated Feb 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
M249 Issued in MD
Legal business name
THE MRI CENTER AT WHITE MARSH, LLC
Practice address
9900 Franklin Square Drive
Suite D
Nottingham, MD 21236
Phone
(410) 931-6674
Fax
(410) 931-2989
NPI assigned
Oct 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2011

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

Authorized official

Name
Mr. Robert Patrick Mulreaney, CPA
Title
President
Phone
(410) 931-6674

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085R0202X
Diagnostic Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085R0202X M249 MD Primary

Addresses

Primary practice location

9900 Franklin Square Drive
Suite D
Nottingham, MD 21236

Mailing address

9900 Franklin Square Drive
Suite D
Nottingham, MD 21236
Phone (410) 931-6674

Other identifiers 2

IdentifierTypeStateIssuer
P00135265OtherMDRAILROAD MEDICARE
403128800MedicaidMD

National Provider Directory

National Provider Directory

Locations

9900 Franklin Square Dr
Ste C
Baltimore, MD 21236
Phone (410) 931-6674

NPI Registry JSON

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298592000000",
    "number": "1598756645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 FRANKLIN SQUARE DRIVE",
            "address_2": "SUITE D",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "21236",
            "telephone_number": "410-931-6674",
            "fax_number": "410-931-2989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 FRANKLIN SQUARE DRIVE",
            "address_2": "SUITE D",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "21236",
            "telephone_number": "410-931-6674",
            "fax_number": "410-931-2989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MRI CENTER AT WHITE MARSH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-28",
        "last_updated": "2011-02-25",
        "status": "A",
        "authorized_official_last_name": "MULREANEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-931-6674",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "M249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00135265",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "403128800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nottingham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.