Maritime Lithotripsy, LLC

Primary specialty

Lithotripsy Clinic/CenterTaxonomy code 261QL0400X

Legal business name

MARITIME LITHOTRIPSY, LLC

Practice address

211 E. Lomard St.
#122
Baltimore, MD 21202-6102

Phone

(520) 323-8732

Fax

(520) 258-0304

NPI assigned

May 23, 2007

Organization subpart

No

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

Authorized official

Name

Lacey Dinh

Title

Revenue Cycle Manager of Abs

Phone

(520) 258-0326

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450656000000",
    "number": "1770793135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6339 E SPEEDWAY BLVD STE 201",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857101147",
            "telephone_number": "520-323-8732",
            "fax_number": "520-547-1865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E. LOMARD ST.",
            "address_2": "#122",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212026102",
            "telephone_number": "520-323-8732",
            "fax_number": "520-258-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARITIME LITHOTRIPSY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2015-12-21",
        "status": "A",
        "authorized_official_last_name": "DINH",
        "authorized_official_first_name": "LACEY",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER OF ABS",
        "authorized_official_telephone_number": "520-258-0326"
    },
    "taxonomies": [
        {
            "code": "261QL0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Lithotripsy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Victor Marinich
• Ivy Marino
• Loren Marino, MD
• Rachel Meredith Marino, CRNP
• Victoria Marinzel
• Marjorie Gail Falk,
• Mark a. Deitch, MD, LLC (MD3 Orthopaedics)
• Mark H. Lowitt MD, LLC
• Mark P Diamond MD PA
• Mark Reader, PH.D., P.a.

• Clinic/Center in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2015; 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.