Healthcare Provider Details

I. General information

NPI: 1184285678
Provider Name (Legal Business Name): PDIHEALTH MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2019
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6700 ALEXANDER BELL DR STE 200
COLUMBIA MD
21046-2105
US

IV. Provider business mailing address

12 SPENCER ST
BROOKLYN NY
11205-1891
US

V. Phone/Fax

Practice location:
  • Phone: 800-749-9729
  • Fax: 877-686-1540
Mailing address:
  • Phone: 516-517-4716
  • Fax: 877-686-1540

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0208X
TaxonomyMobile Radiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MENACHEM TAUBER
Title or Position: CEO
Credential:
Phone: 516-517-4823