Provider Demographics
NPI:1043340672
Name:DIAGNOSTIC IMAGING INC
Entity Type:Organization
Organization Name:DIAGNOSTIC IMAGING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:LANDON
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:RVT RDCS
Authorized Official - Phone:301-801-8800
Mailing Address - Street 1:15119 GANLEY RD
Mailing Address - Street 2:
Mailing Address - City:BOYDS
Mailing Address - State:MD
Mailing Address - Zip Code:20841-9466
Mailing Address - Country:US
Mailing Address - Phone:301-515-1264
Mailing Address - Fax:301-515-0069
Practice Address - Street 1:15119 GANLEY RD
Practice Address - Street 2:
Practice Address - City:BOYDS
Practice Address - State:MD
Practice Address - Zip Code:20841-9466
Practice Address - Country:US
Practice Address - Phone:301-515-1264
Practice Address - Fax:301-515-0069
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2010-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Multi-Specialty
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty