FAIRFAX RADIOLOGICAL CONSULTANTS PC NPI 1417133398

NPI Information

NPI: 1417133398
Provider Name: FAIRFAX RADIOLOGICAL CONSULTANTS PC
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
115 PARK ST SE
STE 203
VIENNA, VA
ZIP 22180
Phone: (703) 698-4483
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FAIRFAX RADIOLOGICAL CONSULTANTS PC is a radiology clinic center in Vienna, VA. FAIRFAX RADIOLOGICAL CONSULTANTS PC NPI is 1417133398. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

115 PARK ST SE
STE 203
VIENNA, VA
ZIP 22180-653
Phone: (703) 698-4483
Fax: (703) 573-0880

The provider's authorized official is Bill F Allison .
The authorized official title is Executive Director and has the following contact phone number (703) 698-4483.

The enumeration date for this NPI number is 1/10/2008 and was last updated on 1/12/2011.

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
1	174400000X	Specialist				No
2	261QR0206X	Clinic/Center	Radiology, Mammography	221597	VIRGINIA	No
3	261QR0200X	Clinic/Center	Radiology			Yes

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
1	9363	OTHER	VIRGINIA	AETNA
2	099543	MEDICARE PIN	DISTRICT OF COLUMBIA
3	100497	OTHER	VIRGINIA	KAISER
4	224404	OTHER	VIRGINIA	ANTHEM BCBS

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

NPI Synchronization or Removal

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