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General NPI Number Information
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NPI Number | 1669360152
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Entity Type | Organization
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Legal Business Name | PHYSICIAN IMAGING OF WASHINGTON HOSPITAL CENTER, LLC
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Dates
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Enumeration Date | 06/25/2025
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 7501 SURRATTS RD STE 105
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City | CLINTON
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State | MD
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Zip | 20735-3362
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Country | US
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Telephone | 301-877-5588
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Fax | 301-868-2298
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Provider Business Mailing Address
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Address Line | 800 CRESCENT CENTRE DR STE 400
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City | FRANKLIN
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State | TN
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Zip | 37067-7270
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Country | US
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Telephone | 615-261-2306
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Fax | 855-588-3545
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | AMY STOUT
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Credential |
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Telephone | 615-261-2306
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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