Provider Demographics
NPI:1699839860
Name:NIGHTTIME RADIOLOGY NORTH LLC
Entity Type:Organization
Organization Name:NIGHTTIME RADIOLOGY NORTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:GRAW
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:443-607-1033
Mailing Address - Street 1:2772 RUTLAND RD
Mailing Address - Street 2:
Mailing Address - City:DAVIDSONVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21035-1228
Mailing Address - Country:US
Mailing Address - Phone:443-607-1033
Mailing Address - Fax:443-607-1041
Practice Address - Street 1:8125 RITCHIE HWY STE H
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:MD
Practice Address - Zip Code:21122-6925
Practice Address - Country:US
Practice Address - Phone:410-544-6483
Practice Address - Fax:410-544-2027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistGroup - Single Specialty