OrganizationActive
Balum Imaging LLC
NPI 1063886612 · Radiology Clinic/Center · Columbia, MD
Provider details
- NPI number
- 1063886612
- Entity type
- Organization
- Primary specialty
- Radiology Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Matthew Dehaven, Ceo(443) 917-2700
- License
- M478 (MD)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5500 Knoll North Dr
Suite 190
Columbia, MD 21045-2370
Phone: (443) 917-2700
Fax: (410) 415-1418
Street-level locationGet directions
Mailing address
5500 Knoll North Dr
Columbia, MD 21045-2370
Registry dates
- Enumerated
- 2015-11-19
- Last updated
- 2015-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.