Provider Demographics
NPI:1467400648
Name:BETHESDA MRI LLC
Entity Type:Organization
Organization Name:BETHESDA MRI LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:LEVENT
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-909-6123
Mailing Address - Street 1:PO BOX 1085
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45802-1085
Mailing Address - Country:US
Mailing Address - Phone:844-466-5613
Mailing Address - Fax:419-223-2726
Practice Address - Street 1:3202 TOWER OAKS BLVD
Practice Address - Street 2:SUITE 120
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-4219
Practice Address - Country:US
Practice Address - Phone:301-657-2444
Practice Address - Fax:301-657-2450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-04
Last Update Date:2020-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD407347900Medicaid
MD407347900Medicaid