CT Imaging of Greenway, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

M317 Issued in MD

Legal business name

CT IMAGING OF GREENWAY, LLC

Practice address

7525 Greenway Center Dr
T1
Greenbelt, MD 20770-3509

Phone

(301) 982-1919

Fax

(301) 982-1969

NPI assigned

Jul 18, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Philip L Adzima

Title

Chief Operating Officer

Phone

(410) 420-9980

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1609894674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 S ATWOOD RD",
            "address_2": "SUITE 102",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144172",
            "telephone_number": "410-420-9980",
            "fax_number": "410-420-9975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7525 GREENWAY CENTER DR",
            "address_2": "T1",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703509",
            "telephone_number": "301-982-1919",
            "fax_number": "301-982-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CT IMAGING OF GREENWAY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "ADZIMA",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "410-420-9980",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": "M317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vannesa Vivianna Crotzer, PA-C
• Amber Crummitt
• Lee Daniel Crump, PH.D.
• Reyna Cruz
• Rosa A Cruz, LGPC
• Maria Theresa Cuadra, PA
• Charlene Yvonne Cupe, MA
• Blailond John Curtis, LGPC
• CVS Caremark
• Patricia A Czapp, MD

• Specialist in Greenbelt, MD
• Providers in Greenbelt, MD by specialty
• Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.