Healthcare Provider Details

I. General information

NPI: 1942392667
Provider Name (Legal Business Name): METROPOLITAN RADIOLOGY ASSOCIATES CHARTERED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2006
Last Update Date: 11/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 VARNUM ST NE
WASHINGTON DC
20017
US

IV. Provider business mailing address

4700 BERWYN HOUSE RD STE 208
COLLEGE PARK MD
20740-2474
US

V. Phone/Fax

Practice location:
  • Phone: 202-269-7000
  • Fax:
Mailing address:
  • Phone: 301-220-0150
  • Fax: 301-220-1032

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. CHRISTINE S MULLEN
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 301-614-0595