Healthcare Provider Details

I. General information

NPI: 1366013443
Provider Name (Legal Business Name): IPLANSAFE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2021
Last Update Date: 03/17/2022
Certification Date: 03/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9821 GREENBELT RD
LANHAM MD
20706-2265
US

IV. Provider business mailing address

PO BOX 122
LANHAM MD
20703-0122
US

V. Phone/Fax

Practice location:
  • Phone: 240-424-9615
  • Fax:
Mailing address:
  • Phone: 240-424-9615
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207UN0902X
TaxonomyNuclear Imaging & Therapy Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207UN0903X
TaxonomyIn Vivo & In Vitro Nuclear Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2471N0900X
TaxonomyNuclear Medicine Technology Radiologic Technologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: NANA VINCENT
Title or Position: CEO
Credential:
Phone: 240-424-9615