Healthcare Provider Details

I. General information

NPI: 1700865094
Provider Name (Legal Business Name): SYMPHONY DIAGNOSTIC SERVICES NO 1 LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2006
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 SCHILLING CIR STE 114
HUNT VALLEY MD
21031-1113
US

IV. Provider business mailing address

215 SCHILLING CIR STE 114
HUNT VALLEY MD
21031-1113
US

V. Phone/Fax

Practice location:
  • Phone: 800-786-8015
  • Fax:
Mailing address:
  • Phone: 800-786-8015
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR0208X
TaxonomyMobile Radiology Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code335V00000X
TaxonomyPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
License Number
License Number State

VIII. Authorized Official

Name: BRIAN C CUOMO
Title or Position: AUTHORIZED OFFICIAL/CFO
Credential:
Phone: 800-786-8015