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Fairfax Radiological Consultants Pc
Mammography Clinic/Center in Vienna, Virginia
NPI 1417133398

Fairfax Radiological Consultants Pc is a Mammography Clinic/Center based in Merrifield, VA and is specialized in Radiology, Mammography. Fairfax Radiological Consultants Pc practices in Vienna, VA. The NPI Number for Fairfax Radiological Consultants Pc is 1417133398 and holds a License No. (Virginia).

The current practice location address for Fairfax Radiological Consultants Pc is 115 Park St Se, Vienna, VA and can be reached out via phone at 703-698-4483 and via fax at 703-573-0880.

Location: 115 Park St Se, Vienna, VA, 22116-3650
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417133398
Provider Name
Fairfax Radiological Consultants Pc
Credential
Provider Entity Type
Organization
Address
115 Park St Se, Vienna, VA, 22116-3650
Phone Number
703-698-4483
Fax Number
703-573-0880
Provider Enumeration Date
01/10/2008
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
224404 01 VA ANTHEM BCBS
100497 01 VA KAISER
9363 01 VA AETNA
institution
Provider Business Practice Location Address Details
Address
115 Park St Se
City
Vienna
State
Virginia
Zip
22180-4653
Phone Number
703-698-4483
Fax Number
703-573-0880
person
Provider Business Mailing Address Details
Address
115 Park St Se
City
Vienna
State
Virginia
Zip
22180-4653
Phone Number
703-698-4483
Fax Number
703-573-0880
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
221597 (Virginia)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology
Taxonomy
261QR0200X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology, Mammography
Taxonomy
261QR0206X
License No.
()
Definition
Definition to come...
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