Provider Demographics
NPI:1871503912
Name:CLINICAL RADIOLOGISTS MEDICAL IMAGING PA
Entity Type:Organization
Organization Name:CLINICAL RADIOLOGISTS MEDICAL IMAGING PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANIL
Authorized Official - Middle Name:K
Authorized Official - Last Name:NARANG
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:301-681-3003
Mailing Address - Street 1:4718 CARR DRIVE
Mailing Address - Street 2:PER-SE TECHNOLOGIES ELLIE CONLEY
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22408
Mailing Address - Country:US
Mailing Address - Phone:540-891-5764
Mailing Address - Fax:540-891-5769
Practice Address - Street 1:2121 MEDICAL PARK DRIVE
Practice Address - Street 2:SUITE 3
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902
Practice Address - Country:US
Practice Address - Phone:301-681-3003
Practice Address - Fax:301-681-5868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
042885Medicare ID - Type Unspecified