Community Radiology Associates INC
Radiology, Diagnostic Radiology in Bowie, MD. Organization (NPI-2).
NPI number1699599241
StatusActive
Last updated in NPPESNov 11, 2024
Details
- NPI
- 1699599241
- Entity type
- Organization (NPI-2)
- Legal business name
- Community Radiology Associates INC
- Organization subpart
- Yes
- Enumeration date
- Nov 11, 2024
- Certification date
- Nov 11, 2024
- Last updated
- Nov 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | – | – | Yes |
| 207U00000X | Nuclear Medicine | – | – | |
| 2085R0204X | Radiology, Vascular & Interventional Radiology | – | – |
Other names
- Cra - Bowie South (Other Name)
Practice location
4000 Mitchellville Rd Ste A100Bowie, MD 20716-3123
Phone 888-601-3664 · Fax 301-662-5870
Mailing address
10461 Mill Run Cir Ste 1020Owings Mills, MD 21117-5544
Phone 443-436-1221 · Fax 443-436-1256
Authorized official
Albert Victor Porambo
President
3017744764
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