FAIRFAX RADIOLOGICAL CONSULTANTS PC NPI 1114902509

NPI Information

FAIRFAX RADIOLOGICAL CONSULTANTS PC is a specialist in Fairfax, VA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. FAIRFAX RADIOLOGICAL CONSULTANTS PC NPI is 1114902509. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2722 MERRILEE DR
SUITE 230
FAIRFAX, VA
ZIP 22031-400
Phone: (703) 698-4483
Fax: (703) 573-0880

The provider's authorized official is Thomas Lynn Elliott .
The authorized official title is Chief Executive Officer and has the following contact phone number (703) 698-4483.

The enumeration date for this NPI number is 12/8/2005 and was last updated on 11/14/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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