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PET OF RESTON LP NPI 1922024041


NPI Information

NPI: 1922024041
Provider Name: PET OF RESTON, LP
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 49D2246481

Address:
1830 TOWN CENTER DRIVE
SUITE 105
RESTON, VA
ZIP 20190
Phone: (571) 601-2901
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PET OF RESTON, LP is a diagnostic radiology radiology in Reston, VA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. PET OF RESTON, LP NPI is 1922024041. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1830 TOWN CENTER DRIVE
SUITE 105
RESTON, VA
ZIP 20190-237
Phone: (571) 601-2901
Fax: (571) 577-4142

The provider's authorized official is Jeffrey Atkin .
The authorized official title is Ceo and has the following contact phone number (703) 726-1201.

The CLIA number assigned to this NPI record is 49D2246481 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/14/2006 and was last updated on 4/21/2023.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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