Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tidalhealth Peninsula Regional, Inc

Organization Radiology Clinic/Center · NPI 1700984788

Tidalhealth Peninsula Regional, Inc is a Radiology Clinic/Center in Salisbury, Maryland. Licensed in Maryland. Registered with an NPI since 2006.

Licensed in
MD
In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

100 E Carroll St Finance Dept
Salisbury, MD 21801-5422
Phone: (410) 543-7437
Fax: (410) 543-7020
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiology Clinic/Center (primary) Taxonomy 261QR0200X · Licence 22003 (MD)
Clinical Medical Laboratory Taxonomy 291U00000X · Licence 21D0221168 (MD)

Record details

NPI number1700984788
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mickey Griffin — Senior Director Pfs · (410) 543-7437
NPI enumeratedSeptember 21, 2006
Last updated in NPPESNovember 16, 2020
Certification dateNovember 16, 2020
Mailing address100 E Carroll St, Finance Dept., Salisbury, MD 21801-5422

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