St Agnes Nuclear Imaging

LBN: Maiden Choice Nuclear Imaging Center
St Agnes Nuclear Imaging is an health care organization with primary practice located at 724 Maiden Choice Ln Suite 202, Baltimore MD 21228-5911. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nuclear Radiology, which is considered as the primary health care specialty. Maiden Choice Nuclear Imaging Center can be contacted via phone (410) 747-3300, or through Moghbeli, Homayoon via phone (410) 747-3300.

Contact Information

Primary practice address
724 Maiden Choice Ln Suite 202 Baltimore MD 21228-5911
Phone: (410) 747-3300
Fax: (410) 455-0009
Website:
Map and Directions
Authorized official contact:
Name: Moghbeli, Homayoon Doctor of Medicine (MD)
Phone: (410) 747-3300

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X MD0512101 Maryland

Profile Details

NPI number 1528022480
LBN Legal business name Maiden Choice Nuclear Imaging Center
DBA Doing business as St Agnes Nuclear Imaging
Authorized official Moghbeli, Homayoon Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2006
Last updated Jul 28th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528022480 NPPES
Maryland MEDICAID 265080100

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