Healthcare Provider Details

I. General information

NPI: 1053659656
Provider Name (Legal Business Name): PRECISION IMAGING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2013
Last Update Date: 01/17/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6000 EXECUTIVE BLVD SUITE#309
ROCKVILLE MD
20852-3803
US

IV. Provider business mailing address

6000 EXECUTIVE BLVD SUITE#309
ROCKVILLE MD
20852-3803
US

V. Phone/Fax

Practice location:
  • Phone: 301-656-7226
  • Fax: 301-656-7225
Mailing address:
  • Phone: 301-656-7226
  • Fax: 301-656-7225

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License NumberD0055575
License Number StateMD

VIII. Authorized Official

Name: DR. ROBETO FRANCISCO SOTO
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 301-656-7226