NPIMap

Organization Active NPI

Imaging Center Maryland, LLC

  • Diagnostic Radiology Physician
  • Columbia, MD
National Provider Identifier
1922098052
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
M227 Issued in MD
Legal business name
IMAGING CENTER MARYLAND, LLC
Practice address
8827 Centre Park Dr
Columbia, MD 21045-2156
Phone
(410) 772-3232
Fax
(410) 772-3299
NPI assigned
Oct 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Karen Amaya
Title
Sr Director
Phone
(513) 924-5174

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X M227 MD Primary

Addresses

Primary practice location

8827 Centre Park Dr
Columbia, MD 21045-2156

Mailing address

8827 Centre Park Dr
Columbia, MD 21045-2156
Phone (410) 772-3232

Other identifiers 2

IdentifierTypeStateIssuer
CK8021OtherRAILROAD MEDICARE
358341400MedicaidMD

Other names 1

  • Proscan Imaging Columbia Doing business as

National Provider Directory

National Provider Directory

Locations

8827 Centre Park Dr
Ste B
Columbia, MD 21045
Phone (410) 772-3232

Practitioners & affiliated clinicians

Practitioners 3

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": "1130457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1922098052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8827 CENTRE PARK DR",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452156",
            "telephone_number": "410-772-3232",
            "fax_number": "410-772-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8827 CENTRE PARK DR",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452156",
            "telephone_number": "410-772-3232",
            "fax_number": "410-772-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGING CENTER MARYLAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-28",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "AMAYA",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "SR DIRECTOR",
        "authorized_official_telephone_number": "513-924-5174"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "M227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CK8021",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "358341400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Proscan Imaging Columbia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.