NPIMap

Organization Active NPI

Ifrc, LLC

  • Radiology Clinic/Center
  • Fairfax, VA
National Provider Identifier
1508405317
Registry record updated Jun 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
IFRC, LLC
Practice address
2722 Merrilee Dr Ste 230
Fairfax, VA 22031-4400
Phone
(703) 698-4444
Fax
(703) 698-2176
NPI assigned
Dec 26, 2019
Last updated
Jun 5, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2020

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

Authorized official

Name
Kim Masters
Title
Chief Operating Officer
Phone
(703) 698-4444

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X NU
Radiology Clinic/Center 261QR0200X NU Primary
Mammography Clinic/Center 261QR0206X NU

Addresses

Primary practice location

2722 Merrilee Dr Ste 230
Fairfax, VA 22031-4400

Mailing address

2722 Merrilee Dr
Fairfax, VA 22031-4420
Phone (703) 698-4444

Other practice location 1

6211 Centreville Rd Ste 400
Centreville, VA 20121-2641
Phone (703) 204-4411

Other practice location 2

8260 Willow Oaks Corporate Dr Ste 200
Fairfax, VA 22031-4515
Phone (703) 698-4455

Other practice location 3

3833 Fairfax Dr Ste 110
Arlington, VA 22203-1773
Phone (703) 931-4404

Other practice location 4

4 Pidgeon Hill Dr
Sterling, VA 20165-6173
Phone (703) 450-5800

Other practice location 5

11335 Pembrooke Sq Ste 101
Waldorf, MD 20603-4845
Phone (301) 870-8434

Other practice location 6

19455 Deerfield Ave Ste 102
Lansdowne, VA 20176-8102
Phone (703) 858-0001

Other practice location 7

8926 Woodyard Rd Ste 301
Clinton, MD 20735-4232
Phone (301) 856-3670

Other practice location 8

3299 Woodburn Rd Ste 110
Annandale, VA 22003-7310
Phone (703) 849-9050

Other practice location 9

115 Park St SE Ste 203
Vienna, VA 22180-4653
Phone (703) 698-4456

Other practice location 10

8503 Arlington Blvd Ste Ll100
Fairfax, VA 22031-4629
Phone (703) 698-4498

Other practice location 11

5510 Alma Ln Ste 100
Springfield, VA 22151-4028
Phone (703) 698-4485

Other practice location 12

100 Elden St Ste 16
Herndon, VA 20170-4841
Phone (703) 481-9400

Other practice location 13

106 Elden St Ste 16
Herndon, VA 20170-4826
Phone (703) 481-3939

Other practice location 14

8503 Arlington Blvd Ste Ll110
Fairfax, VA 22031-4628
Phone (703) 698-9600

Other practice location 15

3801 University Dr Ste 120
Fairfax, VA 22030-2503
Phone (703) 698-4467

Other practice location 16

230 W Dares Beach Rd Ste 100
Prince Frederick, MD 20678-3151
Phone (301) 855-9754

Other practice location 17

3650 Joseph Siewick Dr Ste 400
Fairfax, VA 22033-1715
Phone (703) 698-4488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, MD, DC, NC, CA5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
O20200824002339 VA Part B Supplier - Clinic/Group Practice 2961829882 Receives reassigned benefits from 179 practitioners
Practice locations: Woodbridge, VA; Sterling, VA; Leesburg, VA
O20200825002448 MD Part B Supplier - Clinic/Group Practice 2961829882 Receives reassigned benefits from 61 practitioners
Practice locations: Glenelg, MD; Waldorf, MD; Prince Frederick, MD; Hagerstown, MD; Frederick, MD
O20200831000860 DC Part B Supplier - Clinic/Group Practice 2961829882 Receives reassigned benefits from 182 practitioners
Practice locations: Vienna, VA; Annandale, VA; Springfield, VA; Potomac, MD; Herndon, VA; Fairfax, VA; Alexandria, VA; Arlington, VA…
O20251002001209 NC Part B Supplier - Clinic/Group Practice 2961829882 Receives reassigned benefits from 3 practitioners
Practice locations: Charlotte, NC; Durham, NC
O20251120004259 CA Part B Supplier - Clinic/Group Practice 2961829882 Receives reassigned benefits from 1 practitioner
Practice locations: San Diego, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2027661Ifrc, LLC8503 Arlington Boulevard - Suite LL-100, Fairfax, VA 22031Certificate of waiverJul 27, 2027
49D2027663Ifrc, LLC6211 Centreville Road - Suite 400, Centreville, VA 20121Certificate of waiverJul 27, 2027
49D2028544Ifrc, LLC3299 Woodburn Road - Suite 110, Annandale, VA 22003Certificate of waiverAug 17, 2027
49D2065251Ifrc, LLC3801 University Drive, Suite 120 & 130, Fairfax, VA 22030Certificate of waiverSep 5, 2027
49D2192012Ifrc, LLC3833 N Fairfax Dr, Arlington, VA 22203Certificate of waiverSep 2, 2026

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

230 W Dares Beach Rd
Ste 100
Prnc Frederck, MD 20678
Phone (301) 855-9754

1600 N Beauregard St
Ste 200
Alexandria, VA 22311
Phone (703) 751-5055

2722 Merrilee Dr
Fairfax, VA 22031

8260 Willow Oaks Corporate Dr
Ste 750
Fairfax, VA 22031
Phone (703) 481-9400

8503 Arlington Blvd
Ste LL110
Fairfax, VA 22031
Phone (703) 698-9600

115 Park St SE
Ste 203
Vienna, VA 22180
Phone (703) 698-4456

14349 Gideon Dr
Woodbridge, VA 22192

14349 Gideon Dr
Ste 110
Woodbridge, VA 22192

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 193

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 193

NPI Registry JSON

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

{
    "created_epoch": "1577318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591315200000",
    "number": "1508405317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2722 MERRILEE DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314420",
            "telephone_number": "703-698-4444",
            "fax_number": "703-698-2176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2722 MERRILEE DR STE 230",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314400",
            "telephone_number": "703-698-4444",
            "fax_number": "703-698-2176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6211 Centreville Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Centreville",
            "state": "VA",
            "postal_code": "201212641",
            "country_code": "US",
            "telephone_number": "703-204-4411",
            "fax_number": "703-961-8318",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8260 Willow Oaks Corporate Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220314515",
            "country_code": "US",
            "telephone_number": "703-698-4455",
            "fax_number": "703-205-9884",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3833 Fairfax Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222031773",
            "country_code": "US",
            "telephone_number": "703-931-4404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4 Pidgeon Hill Dr",
            "address_purpose": "LOCATION",
            "city": "Sterling",
            "state": "VA",
            "postal_code": "201656173",
            "country_code": "US",
            "telephone_number": "703-450-5800",
            "fax_number": "703-450-0495",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11335 Pembrooke Sq Ste 101",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "206034845",
            "country_code": "US",
            "telephone_number": "301-870-8434",
            "fax_number": "301-870-5327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19455 Deerfield Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Lansdowne",
            "state": "VA",
            "postal_code": "201768102",
            "country_code": "US",
            "telephone_number": "703-858-0001",
            "fax_number": "703-724-0600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8926 Woodyard Rd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "MD",
            "postal_code": "207354232",
            "country_code": "US",
            "telephone_number": "301-856-3670",
            "fax_number": "301-868-0129",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3299 Woodburn Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Annandale",
            "state": "VA",
            "postal_code": "220037310",
            "country_code": "US",
            "telephone_number": "703-849-9050",
            "fax_number": "703-698-4491",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 Park St SE Ste 203",
            "address_purpose": "LOCATION",
            "city": "Vienna",
            "state": "VA",
            "postal_code": "221804653",
            "country_code": "US",
            "telephone_number": "703-698-4456",
            "fax_number": "703-242-4474",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8503 Arlington Blvd Ste Ll100",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220314629",
            "country_code": "US",
            "telephone_number": "703-698-4498",
            "fax_number": "703-280-1566",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5510 Alma Ln Ste 100",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "VA",
            "postal_code": "221514028",
            "country_code": "US",
            "telephone_number": "703-698-4485",
            "fax_number": "703-750-0302",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Elden St Ste 16",
            "address_purpose": "LOCATION",
            "city": "Herndon",
            "state": "VA",
            "postal_code": "201704841",
            "country_code": "US",
            "telephone_number": "703-481-9400",
            "fax_number": "703-481-9408",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "106 Elden St Ste 16",
            "address_purpose": "LOCATION",
            "city": "Herndon",
            "state": "VA",
            "postal_code": "201704826",
            "country_code": "US",
            "telephone_number": "703-481-3939",
            "fax_number": "703-796-1103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8503 Arlington Blvd Ste Ll110",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220314628",
            "country_code": "US",
            "telephone_number": "703-698-9600",
            "fax_number": "703-698-5609",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3801 University Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220302503",
            "country_code": "US",
            "telephone_number": "703-698-4467",
            "fax_number": "703-788-8422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "230 W Dares Beach Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Prince Frederick",
            "state": "MD",
            "postal_code": "206783151",
            "country_code": "US",
            "telephone_number": "301-855-9754",
            "fax_number": "301-855-1367",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3650 Joseph Siewick Dr Ste 400",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220331715",
            "country_code": "US",
            "telephone_number": "703-698-4488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IFRC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-26",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A",
        "authorized_official_last_name": "MASTERS",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "703-698-4444"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.