Provider Demographics
NPI:1164630372
Name:CAPITAL IMAGING, INC
Entity Type:Organization
Organization Name:CAPITAL IMAGING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RODWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-772-9546
Mailing Address - Street 1:8630 GUILFORD RD
Mailing Address - Street 2:#147
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21046-2616
Mailing Address - Country:US
Mailing Address - Phone:301-772-9546
Mailing Address - Fax:301-772-0351
Practice Address - Street 1:1400 MERCANTILE LN
Practice Address - Street 2:#174
Practice Address - City:LARGO
Practice Address - State:MD
Practice Address - Zip Code:20774-5341
Practice Address - Country:US
Practice Address - Phone:301-772-9546
Practice Address - Fax:301-772-0351
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDFMX007Medicare ID - Type Unspecified