Reston Radiology Consultants Interventional Services, LLC

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

Legal business name

RESTON RADIOLOGY CONSULTANTS INTERVENTIONAL SERVICES, LLC

Practice address

4001 Fair Ridge Dr Ste 103
Fairfax, VA 22033-2917

Phone

(703) 385-5203

Fax

(703) 385-3058

NPI assigned

Apr 11, 2018

Organization subpart

Yes

Parent organization

FAIR OAKS IMAGING CENTER PCAs reported in NPPES

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

Authorized official

Name

Mr. Jeff Atkin

Title

Ceo

Phone

(703) 726-1201

Specialties & licenses 1

Addresses

Part of

Fair Oaks Imaging Center PC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Fair Oaks Imaging Center, PC

  • Diagnostic Radiology Physician
  • Fairfax, VA
  • NPI 1063437903
  NPPES parent name

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

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523404800000",
    "number": "1295232726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20116 ASHBROOK PL STE 150",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475087",
            "telephone_number": "703-726-1201",
            "fax_number": "703-858-7150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 FAIR RIDGE DR STE 103",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332917",
            "telephone_number": "703-385-5203",
            "fax_number": "703-385-3058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20905 Professional Plz Ste 100",
            "address_purpose": "LOCATION",
            "city": "Ashburn",
            "state": "VA",
            "postal_code": "201473409",
            "country_code": "US",
            "telephone_number": "571-223-0230",
            "fax_number": "571-223-0330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RESTON RADIOLOGY CONSULTANTS INTERVENTIONAL SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAIR OAKS IMAGING CENTER PC",
        "enumeration_date": "2018-04-11",
        "last_updated": "2018-04-11",
        "status": "A",
        "authorized_official_last_name": "ATKIN",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-726-1201",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Vascular & Interventional Radiology Physician in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Vascular & Interventional Radiology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; 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.