Martinsburg Radiology Assoc Inc

LBN: Martinsburg Radiology Assoc Inc
Martinsburg Radiology Assoc Inc is an health care organization with primary practice located at 300 Foxcroft Ave Suite 202B, Martinsburg WV 25401-5341. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Martinsburg Radiology Assoc Inc can be contacted via phone (304) 263-4967, or through Misailidis, Dimitri via phone (304) 263-4967.

Contact Information

Primary practice address
300 Foxcroft Ave Suite 202B Martinsburg WV 25401-5341
Fax: (304) 267-0974
Website:
Authorized official contact:
Name: Misailidis, Dimitri Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X West Virginia

Profile Details

NPI number 1922092568
LBN Legal business name Martinsburg Radiology Assoc Inc
DBA Doing business as
Authorized official Misailidis, Dimitri Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 9th, 2005
Last updated Mar 25th, 2009 - about 15 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 1922092568 NPPES
West Virginia Other 001709764 MT ST BCBS
West Virginia MEDICAID 0008749000 MT ST BCBS
West Virginia MEDICAID 134171500 MT ST BCBS

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