Organization Active NPI

Atlantic Coast Echocardiography and Sonography LLC.

  • Sonography Specialist/Technologist Cardiovascular
  • Fairfax, VA
National Provider Identifier
1174762702
Registry record updated Feb 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Specialist/Technologist CardiovascularTaxonomy code 246XS1301X
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

Updated by the provider on Feb 4, 2009

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)CodeLicenseStatePrimary
Sonography Specialist/Technologist CardiovascularGroup: 193200000X MULTI-SPECIALTY GROUP 246XS1301X Primary
Vascular Sonography Radiologic TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.