Provider Demographics
NPI:1467566240
Name:FINIZIO - RADIOLOGY IMAGING ASSOICATES, P.C.
Entity Type:Organization
Organization Name:FINIZIO - RADIOLOGY IMAGING ASSOICATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHARDSON
Authorized Official - Suffix:
Authorized Official - Credentials:
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:20735-1608
Mailing Address - Country:US
Mailing Address - Phone:301-856-6718
Mailing Address - Fax:301-856-6722
Practice Address - Street 1:8926 WOODYARD RD
Practice Address - Street 2:SUITE 401
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735-4220
Practice Address - Country:US
Practice Address - Phone:301-856-3670
Practice Address - Fax:301-868-0129
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1606138OtherAMERICHOICE
MD3127365OtherALLIANCE-MAMSI (NON-MRI)
MD5100501OtherAETNA PPO
MD125799OtherAETNA
MD471857408/005OtherTRICARE
MD407579001Medicaid
MDS351RAOtherCAREFIRST GROUP NUMBER
MD1122OtherCAREFIRST FEDERAL
MD1606173OtherUNITED HEALTH CARE
MD172994OtherANTHEM
MD1606173OtherUNITED HEALTH CARE
MD5100501OtherAETNA PPO