RADIOLOGY DIAGNOSTIC CENTERS, INC (NPI# 1326097718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326097718 |
| Entity Type | Organization |
| Organization Name | RADIOLOGY DIAGNOSTIC CENTERS, INC |
| Other Organization Name | RADIOLOGY DIAGNOSTIC CENTER AN AFFILIATE OF DIAGNOSTIC HEALTH |
| Practice Address |
4000 Mitchellville Rd Bowie MD 20716-3104 |
| Mailing Address |
22 Inverness Center Pkwy Suite 425 Birmingham AL 35242-4814 |
| Practice Telephone | 3018057000 |
| Practice Fax Number | 3018052968 |
| Mailing Telephone | 2059814814 |
| Mailing Fax Number | 2059947021 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2011-03-08 |
| Authorized Official Name | MISS DONNA L BURCH (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 2059814814 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| Radiology Diagnostic Center an affiliate of Diagnostic Health | Doing Business As Name - Organization |
| Street Address |
4000 MITCHELLVILLE RD |
| City | BOWIE |
| State | MD |
| Zip Code | 20716-3104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962408955 | Lynne Ann Jacobs | Nurse Practitioner | 4000 Mitchellville Rd, A-414, Bowie, MD 20716-3104 | 2005-06-23 |
| 1073059515 | Lifestream Health Center | Clinical Medical Laboratory | 4000 Mitchellville Rd, Suite B322, Bowie, MD 20716-3104 | 2017-01-09 |
| 1730531278 | Jessica Lynn Rizzo | Physical Therapist | 4000 Mitchellville Rd, Suite A404, Bowie, MD 20716 | 2016-07-08 |
| 1538535992 | Lifestyle Hearing Professionals, LLC | Audiologist | 4000 Mitchellville Rd, Suite B124, Bowie, MD 20716-3104 | 2015-08-19 |
| 1841674777 | Lifestream Health Center | Non-Pharmacy Dispensing Site | 4000 Mitchellville Rd, B322, Bowie, MD 20716-3104 | 2015-07-09 |
| 1720468663 | Capital Orthopaedic Specialists LLC | Physical Therapist | 4000 Mitchellville Rd, Suite B116, Bowie, MD 20716-3104 | 2015-06-05 |
| 1366820284 | Capital Orthopaedic Specialists LLC | Durable Medical Equipment & Medical Supplies | 4000 Mitchellville Rd, Suite B 116, Bowie, MD 20716-3104 | 2015-05-12 |
| 1497154223 | Made To Move LLC | Clinic/Center | 4000 Mitchellville Rd, Suite 404a, Bowie, MD 20716-3104 | 2014-08-18 |
| 1841606258 | Doctors of Audiology, LLC | Audiologist | 4000 Mitchellville Rd, Suite B124, Bowie, MD 20716-3104 | 2014-07-07 |
| 1881007995 | Digestive and Biliary Disease Consultants LLC | Hospitalist | 4000 Mitchellville Rd, Ste B 430, Bowie, MD 20716-3104 | 2014-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508330903 | Stacey Katheryn Lundquist | Counselor | 3060 Michellville Rd, Suite 106, Bowie, MD 20716 | 2019-01-18 |
| 1427528819 | Nicole Rudd | Counselor | 4315 Northview Dr, Bowie, MD 20716 | 2018-11-28 |
| 1427541838 | Outreach Recovery II, LLC | Internal Medicine | 4201 Northview Dr Ste 104, Bowie, MD 20716 | 2018-06-11 |
| 1487143608 | Fatimata Koroma | Counselor | 3953 Elite St, Bowie, MD 20716 | 2018-05-02 |
| 1043739618 | Breanna Collinson | Behavior Technician | 3017 New Oak Ln., Bowie, MD 20716 | 2017-09-15 |
| 1790202000 | Sierra Williams Howell | Nurse Practitioner | 2802 Eliston Street, Bowie, MD 20716 | 2017-08-28 |
| 1487175105 | Martine Jean | Technician | 15911 Pointer Ridge Rd, Bowie, MD 20716 | 2017-07-03 |
| 1902254493 | Olachi Enwerem | Licensed Practical Nurse | 16206 Audubon Lane, Bowie, MD 20716 | 2016-05-25 |
| 1780039230 | Debra Lachaune Garris | Specialist | 3042 Mitchiville Road, Bowie, MD 20716 | 2016-05-03 |
| 1750782553 | Medical Trasportation Systems LLC | Non-emergency Medical Transport (VAN) | 16036 Elegant Ave, Bowie, MD 20716 | 2014-09-11 |
| Find all providers in zip 20716 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
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| 1568061869 | All-stat Portable Md, LLC | Physiological Laboratory | 12501 Prosperity Dr Ste 455, Silver Spring, MD 20904-1689 | 2020-10-19 |
| 1265043897 | Blackstone Medical Services LLC | Physiological Laboratory | 4000 Blackburn Ln Ste 210, Burtonsville, MD 20866-6128 | 2020-08-17 |
| 1285131565 | American Diagnostics Services LLC | Physiological Laboratory | 2505 Lord Baltimore Dr Ste E, Windsor Mill, MD 21244-2673 | 2018-04-12 |
| 1972966075 | Sunbloom Tech Inc | Physiological Laboratory | 3266 W Springs Dr, Ellicott City, MD 21043-3270 | 2016-04-05 |
| 1316181274 | Rmi Medical Solutions LLC | Physiological Laboratory | 3531 Anderson Ln, Jarrettsville, MD 21084-1512 | 2009-04-22 |
| 1487843868 | Cardiovascular Imaging, Inc. | Physiological Laboratory | 5530 Wisconsin Ave Ste 915, Chevy Chase, MD 20815-4330 | 2007-10-22 |
| 1457456295 | Heart Savers East Coast, LLC | Physiological Laboratory | 110 W Timonium Road, Suite 1d, Timonium, MD 21093 | 2006-09-14 |
| 1386654663 | America's Favorite Sleep Center Inc. | Physiological Laboratory | 10290 Baltimore National Pike, Ellicott City, MD 21042 | 2006-08-09 |
| 1639140387 | American Diagnostics Services LLC | Physiological Laboratory | 2505 Lord Baltimore Drive, Suite E, Windsor Mill, MD 21244-2639 | 2006-01-31 |
| 1538460985 | Radiation Physics Inc | Physiological Laboratory | 10133 Bacon Dr, Beltsville, MD 20705-2102 | 2010-11-16 |
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| 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.