Provider Demographics
NPI:1528162195
Name:FINIZIO - RADIOLOGY IMAGING ASSOCIATES, PC
Entity type:Organization
Organization Name:FINIZIO - RADIOLOGY IMAGING ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/RADIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:P
Authorized Official - Last Name:FINIZIO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-856-6718
Mailing Address - Street 1:7801 OLD BRANCH AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-1608
Mailing Address - Country:US
Mailing Address - Phone:301-856-6718
Mailing Address - Fax:301-856-6722
Practice Address - Street 1:230 W DARES BEACH RD STE 100
Practice Address - Street 2:
Practice Address - City:PRINCE FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:20678-3151
Practice Address - Country:US
Practice Address - Phone:301-855-9754
Practice Address - Fax:301-855-1367
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174400000X
MD174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1606138OtherAMERICHOICE GROUP NUMBER
MD471857408/004OtherTRICARE GROUP NUMBER
MD172996OtherANTHEM
MD2127917OtherALLIANCE(MRI)
MD5100501OtherAETNA PPO
533549OtherAETNA
MD1604829OtherUNITED HEALTH CARE
MD340CRAOtherCAREFIRST GROUP NUMBER
MD407579003Medicaid
MDK945OtherNCA FEDERAL GROUP NUMBER
MD3127365OtherALLIANCE(NON-MRI)
MD5100501OtherAETNA PPO
MD221LMedicare PIN