Organization · NPI-2
Peripheral Mobile Imaging, LLC
Technician/Technologist · Gaithersburg, MD
NPI number1245160357
StatusActive
Last updated in NPPESJul 16, 2026
Details
- NPI
- 1245160357
- Entity type
- Organization (NPI-2)
- Legal business name
- Peripheral Mobile Imaging, LLC
- Organization subpart
- No
- Enumeration date
- May 20, 2026
- Certification date
- Jul 16, 2026
- Last updated
- Jul 16, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156F00000X | Technician/Technologist | – | – | Yes |
Practice location
101 Lakeforest BlvdGaithersburg, MD 20877-2611
Phone 202-590-0873
Mailing address
101 Lakeforest BlvdGaithersburg, MD 20877-2611
Phone 202-590-0873
Authorized official
Liliane V Pami
Technical Director
2025900873
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