Fairfax Cardiac Imaging, LLC

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

License

MD-03-111-01 Issued in MD

Legal business name

FAIRFAX CARDIAC IMAGING, LLC

Practice address

3700 Joseph Siewick Dr
Suite 402
Fairfax, VA 22033-1744

Phone

(703) 716-5404

Fax

(703) 716-5410

NPI assigned

Aug 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Thienquang Dat Le, M.D.

Title

Managing Partner

Phone

(703) 716-5404

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1186790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186790400000",
    "number": "1336331552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 JOSEPH SIEWICK DR",
            "address_2": "SUITE 402",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331744",
            "telephone_number": "703-716-5404",
            "fax_number": "703-716-5410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 JOSEPH SIEWICK DR",
            "address_2": "SUITE 402",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331744",
            "telephone_number": "703-716-5404",
            "fax_number": "703-716-5410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFAX CARDIAC IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-11",
        "last_updated": "2007-08-11",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "THIENQUANG",
        "authorized_official_middle_name": "DAT",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "703-716-5404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "MD",
            "license": "MD-03-111-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fair Ridge OB/GYN Associates , PC
• Meghan Hennessy Fairbanks, MSP, CCC-SLP
• Fairfax Acupuncture Center, Inc.
• Fairfax Advanced Dentistry, P.C.
• Fairfax Arrhythmia, PLLC
• Fairfax Cardiology PC
• Fairfax Cataract and Retina PLLC
• Fairfax Chiropractic and Rehab
• Fairfax Chiropractic and Wellness Center LLC
• Fairfax Chiropractic PC

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2007; 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.