Iconic Dagnostic Imaging Inc

Primary specialty

Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X

Legal business name

ICONIC DAGNOSTIC IMAGING INC

Practice address

10721 Main St
#204
Fairfax, VA 22030-6914

Phone

(703) 209-2544

NPI assigned

Jul 11, 2011

Organization subpart

No

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

Authorized official

Name

Maria Christopoulos

Title

Ceo

Phone

(703) 209-2544

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310342400000",
    "number": "1346538428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10721 MAIN ST",
            "address_2": "#204",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306914",
            "telephone_number": "703-209-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10721 MAIN ST",
            "address_2": "#204",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306914",
            "telephone_number": "703-209-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICONIC DAGNOSTIC IMAGING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-11",
        "last_updated": "2011-07-11",
        "status": "A",
        "authorized_official_last_name": "CHRISTOPOULOS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-209-2544"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asma Hatim Ibrahim
• Christine Ibrahim
• Sandy F Ibrahim, MD
• Naida Ibrisimovic
• Kevin Ichaso
• Kyran Ide
• Oluwatoyin Temitope Idowu, M.D.
• Ellen Iduma
• Ifrc, LLC
• Samone Ighofose, NP-C

• Diagnostic Ultrasound Physician in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Diagnostic Ultrasound Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; 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.