OPEN MRI & IMAGING CENTER OF ELKTON,LLC


Address: 301 Augustine Herman Hwy, Ste A, Elkton, MD 21921-6587
Phone: 4106201900

OPEN MRI & IMAGING CENTER OF ELKTON,LLC (NPI# 1598702870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598702870
Entity Type Organization
Organization Name OPEN MRI & IMAGING CENTER OF ELKTON,LLC
Practice Address 301 Augustine Herman Hwy
Ste A
Elkton
MD 21921-6587
Mailing Address 210 Chesapeake Blvd
Elkton
MD 21921-6395
Practice Telephone 4106201900
Practice Fax Number 4106204777
Mailing Telephone 4103983868
Mailing Fax Number 4106204777
Enumeration Date 2006-06-02
Last Update Date 2017-05-11
Authorized Official Name AARON ZACK ROYSTON (EXECUTIVE DIRECTOR)
Authorized Official Telephone 4103984679
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QR0200X Clinic/Center
Specialization: Radiology
Ambulatory Health Care Facilities
Y 261QR0200X Clinic/Center
Specialization: Radiology
M292 MD Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MD 408729100 05

Office Location

Street Address 301 AUGUSTINE HERMAN HWY
STE A
City ELKTON
State MD
Zip Code 21921-6587

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487871463 Adult Day Services At Union Hospital Clinic/Center 301 Augustine Herman Hwy, Elkton, MD 21921-6587 2007-04-19

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1134687841 Mary May Occupational Therapy Assistant 5328 100 Laurel Dr, Elkton, MD 21921 2019-03-12
1922571959 Christina Marie Diamonte-mock Social Worker 306 W. Pulaski Highway, Elkton, MD 21921 2019-01-02
1548730120 Stephanie Seelinger Speech-Language Pathologist 201 Booth Street, Elkton, MD 21921 2018-11-27
1780103069 Mary Gamble Social Worker 1190 Augustine Herman Hwy, Elkton, MD 21921 2017-09-18
1356884605 Kenneth Wayne Favors Counselor 8 Brompton Court, Elkton, MD 21921 2016-11-18
1356716864 Northside Pharmacy Long Term Care Inc Pharmacy 707 North Bridge Street, Suite C, Elkton, MD 21921 2015-12-09
1033552765 Megan L. Mullins Counselor 505 Blue Ball Rd Bldg 140b, Elkton, MD 21921 2013-04-11
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Taxonomy Information

Taxonomy Code 261QR0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology

Taxonomy Definition

Definition to come...

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1659899763 Shore Health System, Inc Clinic/Center 1140 Blades Farm Road, Ste 102, Denton, MD 21629-3459 2017-09-08
1013323799 Chesapeake Radiology of Bel Air Clinic/Center 2108 Emmorton Rd, Suite 8, Bel Air, MD 21015-6800 2014-07-02
1750688453 First Imaging Center Inc Clinic/Center 8860 Columbia 100 Pkwy Suite 10, Columbia, MD 21045-2195 2011-02-16
1710088075 Metropolitan Radiology Associates Chartered Clinic/Center 3327 Superior Lane, Suite 103, Bowie, MD 20715 2006-09-26
1518075753 American Diagnostic Medicine Clinic/Center 7235 Hanover Pkwy, Suite A & B, Greenbelt, MD 20770-3601 2006-08-28
1427071604 Affiliated Pet Systems LLC Clinic/Center 1400 Forest Glen Rd Ste 430, Silver Spring, MD 20910-1464 2006-07-26
1447283536 Vymed Diagnostic Imamaging/salisbury LLC Clinic/Center 200 B East Vine Street, Salisbury, MD 21804 2006-07-09
1780636928 Advanced Medical Solutions, LLC Clinic/Center 8200 Professional Pl, Suite 115, Hyattsville, MD 20785-2212 2006-05-16
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Competitor

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City ELKTON
Zip Code 21921

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Dataset Information

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.

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