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General NPI Number Information
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NPI Number | 1437234655
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Entity Type | Organization
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Legal Business Name | METROPOLITAN RADIOLOGY ASSOC CHTD
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 10/16/2007
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Provider Practice Location Address
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Address Line | 6128 BRANDON AVENUE SUITE 205
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City | SPRINGFIELD
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State | VA
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Zip | 22150
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Country | US
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Telephone | 703-569-8820
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Fax | 703-569-8786
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Provider Business Mailing Address
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Address Line | 4700 BERWYN HOUSE RD SUITE 208
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City | COLLEGE PARK
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State | MD
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Zip | 20740
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Country | US
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Telephone | 301-220-0150
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Fax | 301-220-1032
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MRS. LOIS I WILLIAMS
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Credential |
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Telephone | 301-220-0150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2085N0904X
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Taxonomy Name | Nuclear Radiology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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