Provider Demographics
NPI:1336184241
Name:WASHINGTON OPEN MRI INC
Entity Type:Organization
Organization Name:WASHINGTON OPEN MRI INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHOIRZED DELEGATE
Authorized Official - Prefix:
Authorized Official - First Name:ALYSON
Authorized Official - Middle Name:
Authorized Official - Last Name:MOST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-424-4888
Mailing Address - Street 1:15005 SHADY GROVE RD STE 110
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-6341
Mailing Address - Country:US
Mailing Address - Phone:301-424-4888
Mailing Address - Fax:301-926-1348
Practice Address - Street 1:15005 SHADY GROVE RD STE 110
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-6341
Practice Address - Country:US
Practice Address - Phone:301-424-4888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-17
Last Update Date:2018-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty
No261QR0206XAmbulatory Health Care FacilitiesClinic/CenterRadiology, MammographyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD796000000Medicaid
DC472315OtherMEDICARE