MARYLAND IMAGING NETWORK PC
NPI 1316793391
Radiology - Diagnostic Radiology in Prince Frederick, MD

Q: What is Maryland Imaging Network PC's NPI number?

The NPI number for Maryland Imaging Network PC is 1316793391. It was assigned to this organization in the NPPES registry on April 29, 2024. The provider is also known as Min Chmc.

Q: What is Maryland Imaging Network PC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Active since April 29, 2024CLIA 21D2232055 · Waiver

100 HOSPITAL RD, PRINCE FREDERICK, MD 20678(443) 436-1221(443) 436-1256 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Maryland Imaging Network Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARYLAND IMAGING NETWORK PC (NPI 1316793391) is a healthcare organization registered as a diagnostic radiology in Prince Frederick, Maryland and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through August 9, 2027 and lists John Vernon Crues, Owner, as its authorized official.

NPPES Registry Identity

NPI1316793391

Entity TypeOrganization

Primary Taxonomy2085R0202X

Legal Business NameMARYLAND IMAGING NETWORK PC

Location Address100 HOSPITAL RDPrince Frederick, MD 20678-4017

Mailing Address10461 Mill Run Cir Ste 1200Owings Mills, MD 21117-4204 · (443) 436-1221 · Fax (443) 436-1256

Phone(443) 436-1221

Fax(443) 436-1256

Organization SubpartYes

Authorized OfficialJohn Vernon CruesOwner · (443) 436-1116

Enumeration DateApril 29, 2024

NPPES CertifiedApril 29, 2024

✔ NPI 1316793391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedNuclear MedicineTaxonomy 207U00000X

Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X

100 HOSPITAL RD, Prince Frederick, MD 20678

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Other Names 1

Other NameMin Chmc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2232055

Maryland Imaging Network · Prince Frederick, MD

Active · expires Aug 9, 2027

CLIA Number21D2232055

Laboratory TypeOutpatiet Radiology

Certificate Effective DateAugust 10, 2025

Certificate Expiration DateAugust 9, 2027

Laboratory DirectorDr. Angela M. Pansera

Laboratory Phone(443) 295-9235

Laboratory LocationMaryland Imaging Network130 Hospital Road #ll100, Prince Frederick, MD 20678

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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