UNIVERSITY IMAGING CENTER, LLC (NPI# 1245245307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245245307 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY IMAGING CENTER, LLC |
| Practice Address |
419 W Redwood St Suite 110 Baltimore MD 21201-1734 |
| Mailing Address |
Po Box 64137 Baltimore MD 21264-4137 |
| Practice Telephone | 4103283225 |
| Practice Fax Number | 4103281009 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2019-12-24 |
| Authorized Official Name | DR. CHARLES S WHITE (VICE PRESIDENT) |
| Authorized Official Telephone | 4103283477 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085D0003X |
Radiology Specialization: Diagnostic Neuroimaging |
Allopathic & Osteopathic Physicians | ||
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians | ||
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 275501700 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 670 W Baltimore St, Baltimore, MD 212011519 | 4103283225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023202033 | University Imaging Center, LLC | Clinic/Center | 66 Tanner St, Haddonfield, NJ 08033-2419 | 2007-09-03 |
| 1649461385 | University Imaging Center, LLC | Clinic/Center | 1051 W Sherman Ave, Suite 4a, Vineland, NJ 08360-6931 | 2007-08-07 |
| 1679764583 | University Imaging Center, LLC | Clinic/Center | 13 W Ormond Ave, Cherry Hill, NJ 08002-3041 | 2007-08-06 |
| Street Address |
419 W REDWOOD ST SUITE 110 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21201-1734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699775452 | Bahram Sina | Dermatology | 419 W Redwood St, Ste. 160, Baltimore, MD 21201-1734 | 2005-07-22 |
| 1982156659 | Melissa Marie Higgs | Nurse Practitioner | 419 W Redwood St, Suite 360, Baltimore, MD 21201-1734 | 2016-10-28 |
| 1598187205 | Monique Church | Social Worker | 419 W Redwood St, Baltimore, MD 21201-1734 | 2014-01-15 |
| 1033540208 | Margaret Louise Vincent | Social Worker | 419 W Redwood St, Baltimore, MD 21201-1734 | 2013-12-12 |
| 1174954820 | Ashley Tracy | Registered Nurse | 419 W Redwood St, Suite 500, Baltimore, MD 21201-1734 | 2013-12-05 |
| 1346689437 | Eva Devience | Ophthalmology | 419 W Redwood St, Suite 420, Baltimore, MD 21201-1734 | 2013-06-21 |
| 1982970893 | Patricia Frances Groleau | Student in an Organized Health Care Education/Training Program | 419 W Redwood St, Suite 240, Baltimore, MD 21201-1734 | 2012-03-25 |
| 1093089799 | Rebecca Madeleine Pfender | Registered Nurse | 419 W Redwood St, Suite 500, Baltimore, MD 21201-1734 | 2012-02-28 |
| 1144504390 | Richelle Joanne Cricks | Advanced Practice Midwife | 419 W Redwood St, Suite 500, Baltimore, MD 21201-1734 | 2011-10-06 |
| 1083904478 | Wanda Binns | Social Worker | 419 W Redwood St, Ste 570, Baltimore, MD 21201-1734 | 2011-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585470 | Meshref Ayed Alshehri | Student in an Organized Health Care Education/Training Program | 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-07-08 |
| 1306462411 | Michael Julian Wong | Student in an Organized Health Care Education/Training Program | University of Maryland, Department of Anesthesiology, 22 S Green St, S11b, Baltimore, MD 21201 | 2020-06-24 |
| 1740817733 | Martha Kaitlyn Coghlan | Student in an Organized Health Care Education/Training Program | Ummc Ob/gyn, 22 S. Greene St., Baltimore, MD 21201 | 2020-03-27 |
| 1629606637 | Taylor Renee Kai | Student in an Organized Health Care Education/Training Program | University of Maryland, 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-03-27 |
| 1295362697 | Brittany A Oster | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street 6th Floor, Suite 300, Baltimore, MD 21201 | 2020-03-25 |
| 1346877735 | Kayvon Michael Mobarakeh | Student in an Organized Health Care Education/Training Program | University of Maryland Department of Anesthesiology, 22 S Greene St, S11c, Baltimore, MD 21201 | 2020-03-25 |
| 1598392284 | Zachary Allan Hagen | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, 6th Flr., Suite 200, Baltimore, MD 21201 | 2020-03-24 |
| 1700430055 | Jaime Semchuk | Student in an Organized Health Care Education/Training Program | 737 West Lombard, Baltimore, MD 21201 | 2019-07-25 |
| 1952861619 | Zachary Daniel Sanford | Student in an Organized Health Care Education/Training Program | 22 S Greene Street S8b12, Baltimore, MD 21201 | 2019-03-20 |
| 1114487840 | Spencer Sykes Lovegrove | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, Sixth Floor, Suite 200, Baltimore, Sixth Floor, Suite 200, Baltimore, MD 21201 | 2019-03-20 |
| Find all providers in zip 21201 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235510983 | David Jinkyu Lee | Radiology | 601 N Caroline St # 3251, Baltimore, MD 21287-0006 | 2015-06-17 |
| 1639556467 | Samarth Gola | Radiology | 601 N Caroline St Ofc 3014, Baltimore, MD 21287-0006 | 2015-04-30 |
| 1386059400 | Daniel Ryan | Radiology | 600 N. Wolfe Street Phipps Bldg, Room B-100, Baltimore, MD 21287 | 2014-06-26 |
| 1538415633 | Ammar K. Al-ibraheemi | Radiology | 601 N Wolfe St Rm 3235a, Baltimore, MD 21287-0004 | 2012-07-26 |
| 1609165042 | Sunpreet Singh Tandon | Radiology | 4940 Eastern Ave Fl 1, Baltimore, MD 21224-2735 | 2011-04-06 |
| 1639476948 | Byung Chul Yoon | Radiology | 1620 Mcelderry St Apt 515, Baltimore, MD 21205 | 2011-02-23 |
| 1730484619 | Howard Allen Davidov | Radiology | 7221 Denberg Rd, Baltimore, MD 21209-1038 | 2011-01-24 |
| 1306075056 | Elnasif Arrayeh | Radiology | 601 N Caroline St # 3235a, Baltimore, MD 21287-0006 | 2009-07-02 |
| 1922234558 | Kristin K. Porter | Radiology | Radiology Department Johns Hopkins Hospital, 600 N Wolfe Street, Baltimore, MD 21287-0001 | 2009-06-10 |
| 1386884302 | Elizabeth Kristine Weihe | Radiology | 601 N Caroline St # 3142, Baltimore, MD 21287-7406 | 2009-03-03 |
| Find all providers in BALTIMORE | ||||
Please comment or provide details below to improve the information on UNIVERSITY IMAGING CENTER, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.