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UNIVERSITY OF MARYLAND DIAGNOSTIC RADIOLOGY, LLC
NPI 1467996959
Radiology - Diagnostic Radiology in La Plata, MD

Active since December 19, 2016CLIA 21D2138900 · Waiver
5 N LA PLATA CT STE 104, LA PLATA, MD 20646(301) 539-0345 Get Directions Write a Review

NPPES record last updated: December 24, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 24, 2019, Dec 19, 2016 (2 updates tracked since 2016).

About University Of Maryland Diagnostic Radiology, Llc NPPES

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

UNIVERSITY OF MARYLAND DIAGNOSTIC RADIOLOGY, LLC (NPI 1467996959) is a healthcare organization registered as a diagnostic radiology in La Plata, Maryland and active in the NPI registry since December 2016. The organization holds a CLIA Waiver certificate valid through October 14, 2027 and lists Charles S White, Vice President, as its authorized official.

NPPES Registry Identity

NPI1467996959
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameUNIVERSITY OF MARYLAND DIAGNOSTIC RADIOLOGY, LLC
Location Address5 N LA PLATA CT STE 104La Plata, MD 20646-5207
Mailing AddressPo Box 829688Philadelphia, PA 19182-9688
Phone(301) 539-0345
Organization SubpartNo
Authorized OfficialCharles S WhiteVice President · (410) 328-3477
Enumeration DateDecember 19, 2016
Last NPPES UpdateDecember 24, 20192 updates tracked since enumeration
✔ NPI 1467996959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ 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 ListedRadiology · Diagnostic NeuroimagingTaxonomy 2085D0003X
Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X
Also ListedRadiology · Pediatric RadiologyTaxonomy 2085P0229X
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X
5 N LA PLATA CT STE 104, La Plata, MD 20646
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Other Identifiers 1

Medicaid302245500MD

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

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 21D2138900

University Of MD Diagnostic Radiology LLC · Laplata, MD
Active · expires Oct 14, 2027
CLIA Number21D2138900
Laboratory TypeOutpt Radiology Facility
Certificate Effective DateOctober 15, 2025
Certificate Expiration DateOctober 14, 2027
Laboratory DirectorBolivia T. Davis MD
Laboratory Phone(301) 539-0345
Laboratory LocationUniversity Of MD Diagnostic Radiology LLC5 N Laplata Court Suite 104, Laplata, MD 20646
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is University Of Maryland Diagnostic Radiology, LLC's NPI number?

The NPI number for University Of Maryland Diagnostic Radiology, LLC is 1467996959. It was assigned to this organization in the NPPES registry on December 19, 2016.

Where is University Of Maryland Diagnostic Radiology, LLC located?

University Of Maryland Diagnostic Radiology, LLC is located at 5 N La Plata Ct Ste 104, La Plata, MD 20646. The listed phone number is (301) 539-0345.

What is University Of Maryland Diagnostic Radiology, LLC's specialty?

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

Does University Of Maryland Diagnostic Radiology, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2138900) is associated with this NPI, valid through October 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does University Of Maryland Diagnostic Radiology, LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list University Of Maryland Diagnostic Radiology, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for University Of Maryland Diagnostic Radiology, LLC was last updated on December 24, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.