FAIRFAX RADIOLOGICAL CONSULTANTS NPI 1114902509

NPI Information

  • NPI: 1114902509
  • Provider Name: FAIRFAX RADIOLOGICAL CONSULTANTS
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 3300 GALLOWS RD
    FALLS CHURCH, VA
    ZIP 22042
  • Phone: (703) 698-4483

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NPI Details

FAIRFAX RADIOLOGICAL CONSULTANTS is a specialist in Falls Church, 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 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:

3300 GALLOWS RD
FALLS CHURCH, VA
ZIP 22042-307
Phone: (703) 698-4483
Fax: (703) 573-0880

The provider's authorized official is Kim Masters .
The authorized official title is Chief Operating Officer and has the following contact phone number (703) 698-4444.

The enumeration date for this NPI number is 12/8/2005 and was last updated on 10/22/2025.

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
1174400000XSpecialistYes

Other Identifiers

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

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1224404OTHERVIRGINIAANTHEM BCBS
2231506OTHERVIRGINIAANTHEM BCBS
3089016OTHERVIRGINIAANTHEM BCBS
4089072OTHERVIRGINIAANTHEM BCBS
5189293OTHERVIRGINIAANTHEM BCBS
62325664OTHERVIRGINIAUNITED HEALTH CARE
78560910OTHERAETNA NON HMO
8484920OTHERNCPPO
96558011 00MEDICAIDMARYLAND
10115091OTHERVIRGINIAANTHEM BCBS
11189288OTHERVIRGINIAANTHEM BCBS
12234149OTHERVIRGINIAANTHEM BCBS
13033140OTHERVIRGINIAANTHEM BCBS
14100497OTHERKAISER
15231507OTHERVIRGINIAANTHEM BCBS
16258371OTHERVIRGINIAANTHEM BCBS
17258372OTHERVIRGINIAANTHEM BCBS
183995OTHERCAREFIRST
19033140OTHERVIRGINIAANTHEM
20089044OTHERVIRGINIAANTHEM BCBS
21189289OTHERVIRGINIAANTHEM BCBS
222251430OTHERVIRGINIAMAMSI - OFFICE
23302282OTHERVIRGINIAANTHEM BCBS
24088987OTHERVIRGINIAANTHEM BCBS
25224403OTHERVIRGINIAANTHEM BCBS
26231507OTHERVIRGINIAANTHEM
274000503-000MEDICAIDWEST VIRGINIA
28453969OTHERVIRGINIAANTHEM BCBS
299363OTHERAETNA HMO
30314478OTHERVIRGINIAMAMSI
317364052001OTHERCIGNA

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: 11/21/2025

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