Provider Demographics
NPI:1699902411
Name:HEADS UP IMAGING, LLC
Entity type:Organization
Organization Name:HEADS UP IMAGING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:A
Authorized Official - Last Name:SCHEMBARI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:240-375-7028
Mailing Address - Street 1:PO BOX 3
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20725-0003
Mailing Address - Country:US
Mailing Address - Phone:240-375-7028
Mailing Address - Fax:
Practice Address - Street 1:535 MAIN ST
Practice Address - Street 2:SUITE 113
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-4335
Practice Address - Country:US
Practice Address - Phone:240-375-7028
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-18
Last Update Date:2017-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDAPPLIED FOR261QR0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile