| Premier Mri Services Llc | |
|
107 Ridgley Ave Suite 12 Annapolis MD 21401 | |
| (410) 267-1780 | |
| (410) 267-1784 |
| Full Name | Premier Mri Services Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 107 Ridgley Ave, Annapolis, Maryland |
| Authorized Official Name and Position | Walter Dubiansky (CEO PRESIDENT) |
| Authorized Official Contact | 4102671780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Mri Services Llc 107 Ridgley Ave Suite 12 Annapolis MD 21401 Ph: (410) 267-1780 | Premier Mri Services Llc 107 Ridgley Ave Suite 12 Annapolis MD 21401 Ph: (410) 267-1780 |
| NPI Number | 1023111804 |
|---|---|
| Provider Enumeration Date | 09/06/2006 |
| Last Update Date | 04/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023111804 | NPI | - | NPPES |
| 9398PR | Other | MD | BLUE SHIELD OF MARYLAND |
| K646 | Other | DC | BLUE SHIELD DC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | M231 (Maryland) | Primary |
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