Provider Demographics
NPI:1326101882
Name:UNITED RADIOLOGY SERVICES, LLC
Entity Type:Organization
Organization Name:UNITED RADIOLOGY SERVICES, LLC
Other - Org Name:KORANGY RADIOLOGY & ASSOC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KORANGY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-764-0912
Mailing Address - Street 1:6615 REISTERSTOWN RD
Mailing Address - Street 2:SUITE 305
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-2686
Mailing Address - Country:US
Mailing Address - Phone:410-764-0912
Mailing Address - Fax:
Practice Address - Street 1:724 MAIDEN CHOICE LN
Practice Address - Street 2:
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-5911
Practice Address - Country:US
Practice Address - Phone:410-747-9303
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2007-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody ImagingGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD474POtherMEDICARE