Individual provider Active NPI

Liisa L Laakso, DO

  • Diagnostic Radiology Physician
  • Manassas, VA
National Provider Identifier
1003894221
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0102206011 Issued in VA
Practice address
8700 Sudley Rd
Manassas, VA 20110-4418
Phone
(703) 369-8073
Fax
(703) 369-8032
NPI assigned
Jan 6, 2006
Last updated
Feb 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0102206011 VA Primary
Diagnostic Radiology Physician 2085R0202X 036058015 IL

Addresses

Primary practice location

8700 Sudley Rd
Manassas, VA 20110-4418

Mailing address

PO Box 9007
Charlottesville, VA 22906-9007

Other identifiers 4

IdentifierTypeStateIssuer
01615363OtherILBC GROUP
P00386472OtherILTRAVLERS INDIVIDUAL PIN
036058015MedicaidIL
CB4562OtherILTRAVELERS MEDICARE GRP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040203000093 IL Practitioner - Diagnostic Radiology 3971496241 Reassigns benefits to 3 organizations
I20201130000561 VA Practitioner - Diagnostic Radiology 3971496241 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Chicago College of Osteopathy, 1977
Medicare assignment
May accept Medicare assignment
Group practices
Foundation Radiology Group PCGroup PAC ID 3779683537, 90 clinicians
University Hospitals Medical Group IncGroup PAC ID 4789682493, 2,248 clinicians
Augusta Health Care IncGroup PAC ID 1355248212, 63 clinicians
Augusta Medical GroupGroup PAC ID 3678632544, 409 clinicians

Practice addresses (Care Compare)

1237 Dartmouth Rd
Flossmoor, IL 60422-1641
Phone (412) 230-8200

23 N Campus Dr
Suite 101
Fishersville, VA 22939-2469
Phone (540) 332-4400

501 Sunset LN
Culpeper, VA 22701-3917
Phone (540) 829-4271

78 Medical Ctr Dr
Fishersville, VA 22939-2332
Phone (540) 932-4075

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
036058015ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Virginia Physicians Group CurrentSince Oct 22, 2020 Accepting new patients
University of Virginia Imaging, LLC Diagnostic Radiology CurrentSince Jun 15, 2021 Accepting new patients
Augusta Health Care, Inc CurrentSince Mar 29, 2023 Accepting new patients
Augusta Medical Group CurrentSince Mar 29, 2023 Accepting new patients
Augusta Medical Group CurrentSince Mar 29, 2023 Accepting new patients
University Hospitals Medical Group Inc Diagnostic Radiology CurrentSince Jun 1, 2020 Accepting new patients
University of Virginia Imaging, LLC Diagnostic Radiology CurrentSince Jun 15, 2021 Accepting new patients
University of Virginia Imaging, LLC Diagnostic Radiology Current Accepting new patients
Augusta Health Care, Inc. Diagnostic Radiology CurrentSince Mar 29, 2023 Accepting new patients
Specialists in Medical Imaging SC Diagnostic Radiology CurrentSince Apr 18, 2018 Accepting new patients
Uva Outpatient Imaging Culpeper, LLC Diagnostic Radiology CurrentSince Jun 15, 2021 Accepting new patients
Blue Island Pathology LTD Past Accepting new patients
Bansi.D.Sharma MD SC Past Accepting new patients
Southwest Radiologist Joint VTR Diagnostic Radiology Past Accepting new patients
Emergency Care Physician Services Past Accepting new patients
Associated St James Radiologists SC Diagnostic Radiology Past Accepting new patients

Locations

12935 Gregory St
Blue Island, IL 60406
Phone (708) 597-2000

112 E Clark St
Harrisburg, IL 62946
Phone (618) 252-8337

1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300

20201 Crawford Ave
Olympia Flds, IL 60461
Phone (708) 503-3857

600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151

415 Ray C Hunt Dr
#1100
Charlottesville, VA 22903
Phone (434) 243-8189

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

545 Ray C Hunt Dr
Ste 140
Charlottesvle, VA 22903
Phone (434) 243-9198

501 Sunset Ln
Culpeper, VA 22701
Phone (540) 829-4100

23 North Campus Dr
Ste 101
Fishersville, VA 22939
Phone (540) 332-4400

53 S Medical Park Dr
Fishersville, VA 22939
Phone (540) 332-5687

78 Medical Center Dr
Fishersville, VA 22939
Phone (540) 245-7216

78 Medical Center Dr
Fl 1
Fishersville, VA 22939

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14718/brand/4/csg/1/fhir/r4

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 18

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1003894221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9007",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229069007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 SUDLEY RD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104418",
            "telephone_number": "703-369-8073",
            "fax_number": "703-369-8032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAAKSO",
        "first_name": "LIISA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-06",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0102206011",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036058015",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC GROUP",
            "identifier": "01615363",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVLERS INDIVIDUAL PIN",
            "identifier": "P00386472",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036058015",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS MEDICARE GRP",
            "identifier": "CB4562",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.