NPIMap

Organization Active NPI

Mid Atlantic Radiology Services, LLC

  • Specialist
  • Clinton, MD
National Provider Identifier
1831361138
Registry record updated Mar 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MID ATLANTIC RADIOLOGY SERVICES, LLC
Practice address
7503 Surratts Rd
Route 5
Clinton, MD 20735-3358
Phone
(301) 868-8000
NPI assigned
Mar 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2008

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

Authorized official

Name
Dr. Nourreddine Guaouguaou, MD
Title
President
Phone
(419) 796-0306

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

7503 Surratts Rd
Route 5
Clinton, MD 20735-3358

Mailing address

PO Box 54
Mount Airy, MD 21771-0054
Phone (419) 796-0306

National Provider Directory

National Provider Directory

Locations

7503 Surratts Rd
#5
Clinton, MD 20735
Phone (301) 868-8000

4221 Walney Rd
Fl 3
Chantilly, VA 20151

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206489600000",
    "number": "1831361138",
    "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",
            "telephone_number": "419-796-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7503 SURRATTS RD",
            "address_2": "ROUTE 5",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207353358",
            "telephone_number": "301-868-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID ATLANTIC RADIOLOGY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-26",
        "last_updated": "2008-03-26",
        "status": "A",
        "authorized_official_last_name": "GUAOUGUAOU",
        "authorized_official_first_name": "NOURREDDINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-796-0306",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.