Fairfax Radiological Consultants PC
Organization Active NPI Specialist · Herndon, VA
NPI 1003092974 · NPPES record last updated May 15, 2008
Key facts
- NPI
- 1003092974
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- Legal business name
- FAIRFAX RADIOLOGICAL CONSULTANTS PC
- Practice address
- 100 Elden St
Ste 16
Herndon, VA 20170-4873 - Phone
- (703) 698-4483
- Fax
- (703) 573-0880
- NPI assigned
- Jan 10, 2008
- Organization subpart
- Yes
- Parent organization (as reported)
- FAIRFAX RADIOLOGICAL CONSULTANTS PC
Authorized official
- Name
- Bill F Allison
- Title
- Executive Director
- Phone
- (703) 698-4483
Corporate family (same tax ID) 22
National Provider Directory
- Tax ID family
- Fairfax Rad Cons Inc
- Part of
- Fairfax Rad Cons Inc
Locations
450 Springpark Pl
Ste 100
Herndon, VA 20170
Phone (703) 481-9400
450 Springpark Pl
Ste 10
Herndon, VA 20170
100 Elden St
Ste 16
Herndon, VA 20170
Phone (210) 542-1267
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | Yes |
Addresses
Primary practice location
100 Elden St
Ste 16
Herndon, VA 20170-4873
Mailing address
2722 Merrilee Dr
Suite 230
Fairfax, VA 22031-4400
Phone (703) 698-4483
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 089044 | Other | VA | ANTHEM BCBS |
Other providers in Herndon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.