Imaging Associates of Western Maryland, LP

NPI #1003865510 in Frederick, Maryland

Provider Information

NPI Number
1003865510
Entity Type
Organization
Organization Name
Imaging Associates of Western Maryland, LP
Primary Specialty
Physiological Laboratory
Enumeration Date
May 10, 2006
Last Updated
Mar 8, 2011

Practice Location

Address
110 BAUGHMANS LN
Address 2
SUITE 120
ZIP Code
21702-4011
Phone
(301) 662-0077

Authorized Official

Name
MISS DONNA LEIGH BURCH
Title
CREDENTIALING SPECIALIST
Phone
(205) 981-4814

Specialties & Taxonomy Codes

Specialty
Physiological Laboratory

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