Shady Grove Radiology

LBN: Shady Grove Radiological Consultants Pa
Shady Grove Radiology is an health care organization with primary practice located at 20410 Observation Dr Suite 104, Germantown MD 20876-4000. The organization recently has 8 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Imaging & Therapy, Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Radiology is the primary health care specialty. Shady Grove Radiological Consultants Pa can be contacted via phone (301) 948-5700, or through Busching, Larry W via phone (301) 948-5700.

Contact Information

Primary practice address
20410 Observation Dr Suite 104 Germantown MD 20876-4000
Phone: (301) 948-5700
Fax: (301) 212-4277
Website:
Map and Directions
Authorized official contact:
Name: Busching, Larry W
Phone: (301) 948-5700

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Imaging & Therapy 207UN0902X
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X

Profile Details

NPI number 1639122039
LBN Legal business name Shady Grove Radiological Consultants Pa
DBA Doing business as Shady Grove Radiology
Authorized official Busching, Larry W
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2006
Last updated Aug 25th, 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 1639122039 NPPES
Maryland MEDICAID 979151500

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