MID-ATLANTIC MOBILE MEDICAL IMAGING, LLC. – NPI #1164192365
Nuclear Medicine

A nuclear medicine physician who specializes in nuclear cardiology.

Health Care Provider Taxonomy Code for Nuclear Medicine

MID-ATLANTIC MOBILE MEDICAL IMAGING, LLC. is a provider located in ALEXANDRIA, VA. NPPES has assigned the NPI number 1164192365 to MID-ATLANTIC MOBILE MEDICAL IMAGING, LLC. on September 18, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207UN0901X from the Health Care Provider Taxonomy code set, which is classified as Nuclear Medicine, specializing in Nuclear Cardiology

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MID-ATLANTIC MOBILE MEDICAL IMAGING, LLC. below.

NPI Profile for
MID-ATLANTIC MOBILE MEDICAL IMAGING, LLC.

NPI Number
1164192365
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MID-ATLANTIC MOBILE MEDICAL IMAGING, LLC.
Primary location
5276 DAWES AVE
ALEXANDRIA, VA 22311-1404
Phone: (571) 777-8494 Fax: (571) 777-8493
Mailing address
4303 MEDALLION DR
SILVER SPRING, MD 20904-7331
Phone: (301) 395-3055 Fax:
Organization Subpart
No
Authorized Official
FIKREMARIAM SEBSIBE
MANAGING DIRECTOR
Phone: (301) 395-3055
Updated
Certification Date
Sep 18, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207UN0901X
- Nuclear Medicine / Nuclear Cardiology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.