Healthcare Provider Details

I. General information

NPI: 1023937430
Provider Name (Legal Business Name): CAPITOL RADIOLOGY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2026
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7350 VAN DUSEN RD STE B10
LAUREL MD
20707-5266
US

IV. Provider business mailing address

7350 VAN DUSEN RD STE B10
LAUREL MD
20707-5266
US

V. Phone/Fax

Practice location:
  • Phone: 443-694-2209
  • Fax: 443-694-2209
Mailing address:
  • Phone: 443-694-2209
  • Fax: 443-694-2209

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RM1200X
TaxonomyMagnetic Resonance Imaging (MRI) Internal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2085N0904X
TaxonomyNuclear Radiology Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code2471C3401X
TaxonomyComputed Tomography Radiologic Technologist
License Number
License Number State

VIII. Authorized Official

Name: MARGARET RIDGELY
Title or Position: MANAGER
Credential:
Phone: 443-694-2209