Active NPI
Woodburn Nuclear Medicine, LTD
Doing business as Metro Region PET
- Nuclear Medicine Physician
- Annandale, VA
National Provider Identifier
1659435055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Medicine Physician
- Legal business name
- WOODBURN NUCLEAR MEDICINE, LTD
- Doing business as
- Metro Region PET
- Practice address
- 3289 Woodburn Rd
060
Annandale, VA 22003-6800 - Phone
- (703) 698-0666
- Fax
- (703) 573-6120
- NPI assigned
- Dec 20, 2006
- Last updated
- Apr 13, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tracy Prince
- Title
- Director
- Phone
- (480) 594-3884
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 0101041611 | VA | |
| Radiology Clinic/Center | 261QR0200X | |||
| Nuclear Medicine Physician | 207U00000X | Primary |
Addresses
Primary practice location
3289 Woodburn Rd
060
Annandale, VA 22003-6800
Mailing address
3289 Woodburn Rd Ste 60
Annandale, VA 22003-7337
Phone (703) 698-0666
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036364400 | Medicaid | DC |
Other names 1
- Metro Region PET
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD, NY, FL
Enrollment records 4
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2106124 | Woodburn Nuclear Medicine, LTD | Certificate of waiver | Dec 9, 2027 |
National Provider Directory
National Provider DirectoryLocations
8926 Woodyard Rd
Ste 301
Clinton, MD 20735
Phone (301) 856-3670
9131 Piscataway Rd
Ste 370
Clinton, MD 20735
Phone (301) 868-7470
3289 Woodburn Rd
Ste 50
Annandale, VA 22003
Phone (703) 641-0500
3289 Woodburn Rd
Ste 60
Annandale, VA 22003
Phone (703) 698-0666
Practitioners & affiliated clinicians
Practitioners 14
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.
-
- Diagnostic Radiology Physician
- Baltimore, MD
- NPI 1831167261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776038400000",
"number": "1659435055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3289 WOODBURN RD STE 60",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220037337",
"telephone_number": "703-698-0666",
"fax_number": "703-573-6120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3289 WOODBURN RD",
"address_2": "060",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220036800",
"telephone_number": "703-698-0666",
"fax_number": "703-573-6120"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOODBURN NUCLEAR MEDICINE, LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-20",
"last_updated": "2026-04-13",
"certification_date": "2026-04-13",
"status": "A",
"authorized_official_last_name": "PRINCE",
"authorized_official_first_name": "TRACY",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "480-594-3884"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "VA",
"license": "0101041611",
"primary": false
},
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036364400",
"state": "DC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Metro Region PET",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Annandale, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; 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.