MEDICARE: ANNE ARUNDEL MRI 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	2085R0202X	Diagnostic Radiology Physician

General Provider Information

NPI Number	:	1912145624
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANNE ARUNDEL MRI LLC

Provider Business Mailing Address
First Line	:	8026 RITCHIE HWY
Second Line	:
City	:	PASADENA
State	:	MD
Zip	:	21122-1084
Country	:	US
Telephone Number	:	410-760-3003
Fax Number	:

Provider Business Practice Location Address
First Line	:	8026 RITCHIE HWY
Second Line	:
City	:	PASADENA
State	:	MD
Zip	:	21122-1084
Country	:	US
Telephone Number	:	410-760-3003
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SUZANNE LOW
Credential	:
Telephone Number	:	410-760-3003

Provider Enumeration Date	:	02/03/2009
Last Update Date	:	02/03/2009

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