MEDICARE: IN-DEPTH IMAGING, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085U0001X	Diagnostic Ultrasound Physician

General Provider Information

NPI Number	:	1215879523
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IN-DEPTH IMAGING, LLC

Provider Business Mailing Address
First Line	:	2518 VINEYARD LN
Second Line	:
City	:	CROFTON
State	:	MD
Zip	:	21114-1128
Country	:	US
Telephone Number	:	240-593-8325
Fax Number	:

Provider Business Practice Location Address
First Line	:	2518 VINEYARD LN
Second Line	:
City	:	CROFTON
State	:	MD
Zip	:	21114-1128
Country	:	US
Telephone Number	:	240-593-8325
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MELISSA RAQUEL JACKSON
Credential	:	RDMS
Telephone Number	:	240-593-8325

Provider Enumeration Date	:	04/07/2026
Last Update Date	:	04/07/2026

Similar Medicare Providers

1831939867 — CLARISSA MADISON MSW, LGSW
Practice Location Address:

2502 VINEYARD LN
CROFTON, MD
21114-1128

Practice Phone: 301-659-4659
Practice Fax:

1649274143 — KARLA SELLERS MS, CRNP
Practice Location Address:

2191 DEFENSE HWY , STE 201
CROFTON, MD
21114-2469

Practice Phone: 410-451-9091
Practice Fax:

1669471348 — DR. ASHU P MEHTA MD
Practice Location Address:

1655 CROFTON BLVD , SUITE 101
CROFTON, MD
21114-1342

Practice Phone: 443-292-4872
Practice Fax: 443-292-4892

1518968304 — DR. EMORY ROSS MEYER D.D.S.
Practice Location Address:

1667 CROFTON CTR , 7-A
CROFTON, MD
21114-1303

Practice Phone: 301-261-6333
Practice Fax: 301-839-2543

1245222082 — SIMITA U. TALWAR M.D.
Practice Location Address:

1302 CRONSON BLVD , SUITE E
CROFTON, MD
21114-2064

Practice Phone: 410-451-1301
Practice Fax: 410-451-1037

1477545077 — ALLISON NICHELLE WILLIAMS MD
Practice Location Address:

1684 VILLAGE GRN LOWR LEVEL
CROFTON, MD
21114-2061

Practice Phone: 410-721-3822
Practice Fax: 410-451-0960

Directions to “IN-DEPTH IMAGING, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.