NPI 1497753552 · live from the CMS NPI Registry
Letitia Clark
Radiology, Diagnostic Radiology in Washington, DC. National Provider Identifier 1497753552, active.
NPI record
| NPI | 1497753552 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 3800 Reservoir Rd Nw, Washington, DC 20007 |
| Practice phone | 202-444-3400 |
| Mailing address | Po Box 418283, Boston, MA 02241 |
| Enumerated | July 13, 2005 |
| Last updated | March 5, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | 14380 (DC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.