Active NPI
Atlantic Coast Echocardiography and Sonography LLC.
- Sonography Specialist/Technologist Cardiovascular
- Fairfax, VA
National Provider Identifier
1174762702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sonography Specialist/Technologist Cardiovascular
- Legal business name
- ATLANTIC COAST ECHOCARDIOGRAPHY AND SONOGRAPHY LLC.
- Practice address
- 12587 Fair Lakes Cir
Suite# 276
Fairfax, VA 22033-3822 - Phone
- (703) 830-6789
- Fax
- (703) 830-6790
- NPI assigned
- Feb 4, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Johnathon Michael Edmondson
- Title
- President/Owner
- Phone
- (703) 830-6789
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sonography Specialist/Technologist Cardiovascular | 246XS1301X | Primary | ||
| Vascular Sonography Radiologic Technologist | 2471V0105X |
Addresses
Primary practice location
12587 Fair Lakes Cir
Suite# 276
Fairfax, VA 22033-3822
Mailing address
12587 Fair Lakes Cir
Suite# 276
Fairfax, VA 22033-3822
Phone (703) 830-6789
Other names 1
- A.C.Echos
National Provider Directory
National Provider DirectoryLocations
12587 Fair Lakes Cir
Fairfax, VA 22033
Phone (571) 605-6922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233705600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1233705600000",
"number": "1174762702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12587 FAIR LAKES CIR",
"address_2": "SUITE# 276",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220333822",
"telephone_number": "703-830-6789",
"fax_number": "703-830-6790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12587 FAIR LAKES CIR",
"address_2": "SUITE# 276",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220333822",
"telephone_number": "703-830-6789",
"fax_number": "703-830-6790"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATLANTIC COAST ECHOCARDIOGRAPHY AND SONOGRAPHY LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-04",
"last_updated": "2009-02-04",
"status": "A",
"authorized_official_last_name": "EDMONDSON",
"authorized_official_first_name": "JOHNATHON",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "703-830-6789",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "246XS1301X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist Cardiovascular, Sonography",
"state": null,
"license": null,
"primary": true
},
{
"code": "2471V0105X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiologic Technologist, Vascular Sonography",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "A.C.Echos",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.