MEDICARE: SOUTH POTOMAC BONE ASSESSMENT CENTER

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	261QR0200X	Radiology Clinic/Center

General Provider Information

NPI Number	:	1518983139
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTH POTOMAC BONE ASSESSMENT CENTER

Provider Business Mailing Address
First Line	:	1328 SOUTHERN AVE SE
Second Line	:	SUITE 210
City	:	WASHINGTON
State	:	DC
Zip	:	20032-4689
Country	:	US
Telephone Number	:	202-574-0540
Fax Number	:	202-562-6140

Provider Business Practice Location Address
First Line	:	1328 SOUTHERN AVE SE
Second Line	:	SUITE 210
City	:	WASHINGTON
State	:	DC
Zip	:	20032-4689
Country	:	US
Telephone Number	:	202-574-0540
Fax Number	:	202-562-6140

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. EDGER VERDAN POTTER
Credential	:	MD
Telephone Number	:	202-574-0540

Provider Enumeration Date	:	07/15/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1154328615 — DR. TAGHI KIMYAI-ASADI M.D.
Practice Location Address:

1328 SOUTHERN AVE SE
WASHINGTON, DC
20032-4689

Practice Phone: 202-561-8464
Practice Fax: 202-563-3861

1740262989 — DR. MEER ZONOZI M.D.
Practice Location Address:

1328 SOUTHERN AVE SE , STE 314
WASHINGTON, DC
20032-4689

Practice Phone: 202-563-5485
Practice Fax: 202-563-5498

1265414403 — M. S. ZONOZI, MD
Practice Location Address:

1328 SOUTHERN AVE SE , SUITE 307
WASHINGTON, DC
20032-4689

Practice Phone: 202-563-5485
Practice Fax: 202-563-5498

1669430906 — HASSAN BUSHEHRI MD
Practice Location Address:

1328 SOUTHERN AVE SE , SUITE 201
WASHINGTON, DC
20032-4689

Practice Phone: 202-563-2200
Practice Fax:

1497713655 — HASSAN BUSHEHRI, M.D., P.C.
Practice Location Address:

1328 SOUTHERN AVE SE , SUITE 201
WASHINGTON, DC
20032-4689

Practice Phone: 202-563-2200
Practice Fax:

1003835034 — WILTON O R NEDD MD
Practice Location Address:

1328 SOUTHERN AVE SE STE 302
WASHINGTON, DC
20032-4689

Practice Phone: 202-574-6055
Practice Fax: 202-373-5956

Directions to “SOUTH POTOMAC BONE ASSESSMENT CENTER ” 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.