Organization · NPI-2

Chesapeake Open Mri L L C

Radiology, Diagnostic Radiology · Glen Burnie, MD

NPI number1437698016
StatusActive
Last updated in NPPESSep 9, 2024

Details

NPI
1437698016
Entity type
Organization (NPI-2)
Legal business name
Chesapeake Open Mri L L C
Organization subpart
No
Enumeration date
Feb 16, 2017
Certification date
Sep 9, 2024
Last updated
Sep 9, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0202X Radiology, Diagnostic Radiology––Yes

Other names

  • Chesapeake Medical Imaging (Doing Business As)

Practice location

7801 Elvaton Ct
Suite 1
Glen Burnie, MD 21061-6763

Phone 410-931-0400 · Fax 410-931-1009

Mailing address

122 Defense Hwy Ste 102
Annapolis, MD 21401-7044

Phone 302-526-1604 · Fax 410-931-1009

Authorized official

Mark D. Baganz
President
4105710350

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