Healthcare Provider Details

I. General information

NPI: 1619453891
Provider Name (Legal Business Name): WASHINGTON OPEN MRI INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2018
Last Update Date: 07/11/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6196 OXON HILL RD STE 110
OXON HILL MD
20745-3138
US

IV. Provider business mailing address

15005 SHADY GROVE RD STE 110
ROCKVILLE MD
20850-6341
US

V. Phone/Fax

Practice location:
  • Phone: 301-567-0986
  • Fax:
Mailing address:
  • Phone: 301-567-0986
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM1200X
TaxonomyMagnetic Resonance Imaging (MRI) Clinic/Center
License NumberM373
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License NumberM373
License Number StateMD

VIII. Authorized Official

Name: ALYSON MOST
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 301-424-4888