NPIMap

Organization Active NPI

Medical Imaging of Fredericksburg, LLC

Doing business as Imaging Center for Women

  • Radiology Clinic/Center
  • Fredericksburg, VA
National Provider Identifier
1306884739
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
MEDICAL IMAGING OF FREDERICKSBURG, LLC
Doing business as
Imaging Center for Women
Practice address
1300 Hospital Dr Ste 100
Fredericksburg, VA 22401-8451
Phone
(540) 741-3250
NPI assigned
Jun 4, 2006
Last updated
Jan 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Authorized official

Name
Roni Faisal Talukdar, MDNPI 1134260540
Title
Mif President
Phone
(540) 361-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

1300 Hospital Dr Ste 100
Fredericksburg, VA 22401-8451

Mailing address

PO Box 830008
Philadelphia, PA 19182-0008
Phone (540) 741-3250

Other identifiers 2

IdentifierTypeStateIssuer
292024OtherVAANTHEM
4452OtherVACAREFIRST

Other names 1

  • Imaging Center for Women Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040618000469 VA Part B Supplier - Clinic/Group Practice 8426033135 Receives reassigned benefits from 55 practitioners
3 other NPIs on this enrollment
Practice locations: Fredericksburg, VA; King George, VA; Stafford, VA

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Imaging Center for Women4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1300 Hospital Dr
Fredericksburg, VA 22401
Phone (540) 741-2955

Practitioners & affiliated clinicians

Practitioners 55

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 55

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1306884739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 830008",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191820008",
            "telephone_number": "540-741-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 HOSPITAL DR STE 100",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224018451",
            "telephone_number": "540-741-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL IMAGING OF FREDERICKSBURG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "TALUKDAR",
        "authorized_official_first_name": "RONI",
        "authorized_official_middle_name": "FAISAL",
        "authorized_official_title_or_position": "MIF PRESIDENT",
        "authorized_official_telephone_number": "540-361-1000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "292024",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "4452",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Imaging Center for Women",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.