Healthcare Provider Details

I. General information

NPI: 1598702870
Provider Name (Legal Business Name): OPEN MRI & IMAGING CENTER OF ELKTON,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2006
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 AUGUSTINE HERMAN HWY STE A
ELKTON MD
21921-6587
US

IV. Provider business mailing address

4000 NEXUS DR # E3
WILMINGTON DE
19803-3000
US

V. Phone/Fax

Practice location:
  • Phone: 410-620-1900
  • Fax: 410-620-4777
Mailing address:
  • Phone: 302-428-6782
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License NumberM292
License Number StateMD

VIII. Authorized Official

Name: JUDY RIESEN
Title or Position: DIRECTOR, HOSPITAL BILLING
Credential:
Phone: 302-428-6782