Lightspeed Radiology LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

LIGHTSPEED RADIOLOGY LLC

Practice address

9135 Piscataway Rd
Clinton, MD 20735-2549

Phone

(419) 796-0306

NPI assigned

Oct 22, 2014

Organization subpart

No

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

Authorized official

Name

Nourreddine Guao Guaouguaou, MD

Title

President

Phone

(703) 851-4310

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413936000000",
    "number": "1609270479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217710054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9135 PISCATAWAY RD",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207352549",
            "telephone_number": "419-796-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTSPEED RADIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-22",
        "last_updated": "2014-10-22",
        "status": "A",
        "authorized_official_last_name": "GUAOUGUAOU",
        "authorized_official_first_name": "NOURREDDINE GUAO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-851-4310",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gayatri Lessey, MBBS
• Norman A Lester, M.D.
• Kevin G. Leveling, CRNA
• Roshaud L Lewis, RMP
• Lifescripts, Inc.
• Celicia Williams Little, CRNP
• Living Well Homecare Services LLC
• Andrea Livingston, M.S., CCC-SLP
• Aaron Francis Locks
• Pankajkumar Lohabare, PT

• Diagnostic Radiology Physician in Clinton, MD
• Providers in Clinton, MD by specialty
• Diagnostic Radiology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.