Provider Demographics
NPI:1801075882
Name:CLINICAL IMAGING OF SILVER SPRING LLC
Entity type:Organization
Organization Name:CLINICAL IMAGING OF SILVER SPRING LLC
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:PO BOX 70602
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23255
Mailing Address - Country:US
Mailing Address - Phone:301-431-3324
Mailing Address - Fax:804-672-6899
Practice Address - Street 1:1300 SPRING ST
Practice Address - Street 2:SUITE 120
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910
Practice Address - Country:US
Practice Address - Phone:301-681-3003
Practice Address - Fax:301-681-8493
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-26
Last Update Date:2008-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD400320922085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC127313Medicare PIN