Active NPI
Precision Imaging LLC
- Radiology Clinic/Center
- Rockville, MD
National Provider Identifier
1710907316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- Legal business name
- PRECISION IMAGING LLC
- Practice address
- 6000 Executive Blvd
Suite 302
Rockville, MD 20852-3803 - Phone
- (301) 656-7226
- Fax
- (301) 656-7225
- NPI assigned
- Jul 20, 2006
- Last updated
- Jan 4, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ralph Williamson Fairbanks III
- Title
- Chief Operating Officer
- Phone
- (301) 656-7225
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | Primary |
Addresses
Primary practice location
6000 Executive Blvd
Suite 302
Rockville, MD 20852-3803
Mailing address
6000 Executive Blvd
Suite 302
Rockville, MD 20852-3803
Phone (301) 656-7226
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3245529 | Other | MD | AETNA HMO |
| 9138029 | Other | MD | CIGNA |
| P00209099 | Other | MD | MEDICARE RAILROAD |
| 3118991 | Other | MD | MAMSI ( ALL) - MRI |
| KFD9PR | Other | MD | BSBS MD |
| 7185454 | Other | MD | AETNA PPO |
| 4118991 | Other | MD | MAMSI (ALL) RAD SRV |
| 491644 | Other | MD | NCPPO |
| 613109700 | Other | DOL FECA | |
| 020897500 | Medicaid | DC | |
| 1295755429 | Other | MD | DR. ROBERTO F. SOTO NPI |
| 2118991 | Other | MD | MAMSI ( ALL) - PET |
| 403570400 | Medicaid | MD | |
| J245 | Other | DC | BCBS DC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1325635200000",
"number": "1710907316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6000 EXECUTIVE BLVD",
"address_2": "SUITE 302",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208523803",
"telephone_number": "301-656-7226",
"fax_number": "301-656-7225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 EXECUTIVE BLVD",
"address_2": "SUITE 302",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208523803",
"telephone_number": "301-656-7226",
"fax_number": "301-656-7225"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRECISION IMAGING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-20",
"last_updated": "2012-01-04",
"status": "A",
"authorized_official_last_name": "FAIRBANKS",
"authorized_official_first_name": "RALPH",
"authorized_official_middle_name": "WILLIAMSON",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "301-656-7225",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "III"
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "3245529",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "9138029",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00209099",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI ( ALL) - MRI",
"identifier": "3118991",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BSBS MD",
"identifier": "KFD9PR",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "7185454",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI (ALL) RAD SRV",
"identifier": "4118991",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPPO",
"identifier": "491644",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DOL FECA",
"identifier": "613109700",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "020897500",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DR. ROBERTO F. SOTO NPI",
"identifier": "1295755429",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI ( ALL) - PET",
"identifier": "2118991",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "403570400",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS DC",
"identifier": "J245",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.