Seton Imaging Center

LBN: St. Agnes Healthcare, Inc.
Seton Imaging Center is an health care organization with primary practice located at 3449 Wilkens Ave Suite 102, Baltimore MD 21229-5281. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. St. Agnes Healthcare, Inc. can be contacted via phone (667) 234-8675, or through Vander Kolk, Keith via phone (667) 234-2101.

Contact Information

Primary practice address
3449 Wilkens Ave Suite 102 Baltimore MD 21229-5281
Phone: (667) 234-8675
Fax: (667) 234-8688
Website:
Map and Directions
Authorized official contact:
Name: Vander Kolk, Keith
Phone: (667) 234-2101

Health care specialties

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

Profile Details

NPI number 1780615922
LBN Legal business name St. Agnes Healthcare, Inc.
DBA Doing business as Seton Imaging Center
Authorized official Vander Kolk, Keith
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 5th, 2006
Last updated Feb 25th, 2016 - about 10 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 1780615922 NPPES
Maryland MEDICAID 2161214-20

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