Provider Demographics
NPI:1174627707
Name:FINIZIO - RADIOLOGY IMAGING ASSOCIATES, PC
Entity Type:Organization
Organization Name:FINIZIO - RADIOLOGY IMAGING ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTORY
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:P
Authorized Official - Last Name:FINIZIO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-856-6718
Mailing Address - Street 1:7801 OLD BRANCH AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735
Mailing Address - Country:US
Mailing Address - Phone:301-856-6718
Mailing Address - Fax:301-856-6722
Practice Address - Street 1:11335 PEMBROOKE SQ
Practice Address - Street 2:STE 101
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20603
Practice Address - Country:US
Practice Address - Phone:301-870-8434
Practice Address - Fax:301-870-5327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD174400000X
174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD5100501OtherAETNA PPO
MD3127365OtherALLIANCE(NON-MRI)
MD172989OtherANTHEM
MD339CRAOtherCAREFIRST GROUP NUMBER
MD1606138OtherAMERICHOICE
MD471857408/003OtherTRICARE GROUP NUMBER
MD2127917OtherALLIANCE(MRI)
MD1604828OtherUNITED HEALTH CARE
MD407579002Medicaid
MD533549OtherAETNA GROUP NUMBER
MDK944OtherNCA FEDERAL GROUP NUMBER
MD2127917OtherALLIANCE(MRI)
MD5100501OtherAETNA PPO