Provider Demographics
NPI:1174884050
Name:ORTHOPAEDIC & NEURO IMAGING LLC
Entity type:Organization
Organization Name:ORTHOPAEDIC & NEURO IMAGING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:YAO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-394-8424
Mailing Address - Street 1:400 EASTERN SHORE DRIVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21803-0049
Mailing Address - Country:US
Mailing Address - Phone:410-394-8424
Mailing Address - Fax:410-394-8414
Practice Address - Street 1:400 EASTERN SHORE DR
Practice Address - Street 2:SUITE 104
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21804-5513
Practice Address - Country:US
Practice Address - Phone:410-394-8424
Practice Address - Fax:410-394-8414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-06
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)