IMAGE GUIDED SURGERY CENTER LLC NPI 1285002808

NPI Information

  • NPI: 1285002808
  • Provider Name: IMAGE GUIDED SURGERY CENTER, LLC
  • Classification: Radiology - 2085R0204X
  • Specialization: Vascular & Interventional Radiology
  • Entity Type: Organization
  • Doing Business As: MCLEAN VEIN AND WELLNESS CENTER
  • Address: 6723 WHITTIER AVE
    MC LEAN, VA
    ZIP 22101
  • Phone: (719) 955-9128

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NPI Details

IMAGE GUIDED SURGERY CENTER, LLC is a vascular and interventional radiology radiology in Mc Lean, VA. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. IMAGE GUIDED SURGERY CENTER, LLC NPI is 1285002808. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mclean Vein And Wellness Center.

The provider's business location address is:

6723 WHITTIER AVE
MC LEAN, VA
ZIP 22101-522
Phone: (719) 955-9128
Fax: (866) 335-0887

The provider's authorized official is Nourreddine Guaouguaou .
The authorized official title is Medical Director and has the following contact phone number (719) 955-9128.

The enumeration date for this NPI number is 9/14/2015 and was last updated on 9/14/2015.

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
12085R0204XRadiologyVascular & Interventional RadiologyM60321MARYLANDYes

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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