Provider Demographics
NPI:1457544652
Name:THE RADIOLOGY & MRI INSTITUTE, INC.
Entity Type:Organization
Organization Name:THE RADIOLOGY & MRI INSTITUTE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:WATERS
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:301-918-3500
Mailing Address - Street 1:4611 ASSEMBLY DR
Mailing Address - Street 2:SUITE G
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-4371
Mailing Address - Country:US
Mailing Address - Phone:301-918-3500
Mailing Address - Fax:301-918-3505
Practice Address - Street 1:4611 ASSEMBLY DR
Practice Address - Street 2:SUITE G
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-4371
Practice Address - Country:US
Practice Address - Phone:301-918-3500
Practice Address - Fax:301-918-3505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-21
Last Update Date:2007-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD06053573174400000X, 261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No174400000XOther Service ProvidersSpecialistGroup - Single Specialty