Healthcare Provider Details

I. General information

NPI: 1386866861
Provider Name (Legal Business Name): RMS SONOGRAPHY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 05/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 RIVERSIDE DR SUITE 14
SALISBURY MD
21801-5352
US

IV. Provider business mailing address

540 RIVERSIDE DR SUITE 14
SALISBURY MD
21801-5352
US

V. Phone/Fax

Practice location:
  • Phone: 443-736-7052
  • Fax:
Mailing address:
  • Phone: 443-736-7052
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2471S1302X
TaxonomySonography Radiologic Technologist
License Number41286
License Number StateMD

VIII. Authorized Official

Name: MRS. LORI JO SMITH
Title or Position: PRESIDENT
Credential: RT(R)(M),RDMS
Phone: 443-235-9217