MEDICARE: PERIPHERAL MOBILE IMAGING

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	156F00000X	Technician/Technologist

General Provider Information

NPI Number	:	1245160357
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PERIPHERAL MOBILE IMAGING

Provider Business Mailing Address
First Line	:	10512 SUNNY BROOKE LN
Second Line	:
City	:	POTOMAC
State	:	MD
Zip	:	20854-6391
Country	:	US
Telephone Number	:	202-590-0873
Fax Number	:

Provider Business Practice Location Address
First Line	:	10512 SUNNY BROOKE LN
Second Line	:
City	:	POTOMAC
State	:	MD
Zip	:	20854-6391
Country	:	US
Telephone Number	:	202-590-0873
Fax Number	:

Authorized Official
Title or Position	:	MANAGER OF OPERATIONS
Name	:	MRS. LILIANE V PAMI
Credential	:	RVT
Telephone Number	:	202-590-0873

Provider Enumeration Date	:	05/20/2026
Last Update Date	:	06/04/2026

Similar Medicare Providers

1114373107 — DR. ALISHA TUTEJA LIU M.D.
Practice Location Address:

7811 MONTROSE RD STE 215
POTOMAC, MD
20854-3353

Practice Phone: 240-630-1206
Practice Fax:

1285567891 — MEDSTAR MEDICAL GROUP II LLC
Practice Location Address:

350 FORTUNE TER
POTOMAC, MD
20854-2981

Practice Phone: 855-910-3278
Practice Fax:

1992497721 — GENEVIEVE SERWAH LOVING
Practice Location Address:

13535 HAYWORTH DR
POTOMAC, MD
20854-6398

Practice Phone: 202-866-5382
Practice Fax:

1881697886 — DR. FRANKLIN RANDALL POLUN DPM
Practice Location Address:

12400 PARK POTOMAC AVE # R2
POTOMAC, MD
20854-6973

Practice Phone: 301-983-8202
Practice Fax: 301-299-3985

1780687442 — POLUN AMERICAN SURGERY CENTER, PC
Practice Location Address:

10236 RIVER RD
POTOMAC, MD
20854-4959

Practice Phone: 301-983-9873
Practice Fax: 301-299-3985

1588667000 — DR. CECILIA DEL RIO PSY.D.
Practice Location Address:

9121 ORCHARD BROOK DR
POTOMAC, MD
20854-2404

Practice Phone: 301-610-0464
Practice Fax: 301-610-0464

Directions to “PERIPHERAL MOBILE IMAGING ” 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.