MEDICAL IMAGING OF FREDERICKSBURG LLC NPI 1013950112

NPI Information

MEDICAL IMAGING OF FREDERICKSBURG, LLC is a radiology clinic center in Fredericksburg, VA. MEDICAL IMAGING OF FREDERICKSBURG, LLC NPI is 1013950112. The provider is registered as an organization entity type.
The provider Is Doing Business As Medical Imaging Of Fredericksburg.

The provider's business location address is:

1201 SAM PERRY BLVD STE 102
FREDERICKSBURG, VA
ZIP 22401-490
Phone: (540) 741-7025

The provider's authorized official is Roni Faisal Talukdar .
The authorized official title is Mif President and has the following contact phone number (540) 361-1000.

The CLIA number assigned to this NPI record is 49D1091309 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/14/2006 and was last updated on 3/7/2024.

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

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