NPIMap

Organization Active NPI

Fairfax Radiological Consultants PC

  • Radiology Clinic/Center
  • Annandale, VA
National Provider Identifier
1689850554
Registry record updated Sep 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
FAIRFAX RADIOLOGICAL CONSULTANTS PC
Practice address
3299 Woodburn Rd
Suite 110
Annandale, VA 22003-1275
Phone
(703) 698-4483
Fax
(703) 573-0880
NPI assigned
Jan 10, 2008
Organization subpart
Yes
Parent organization
FAIRFAX RADIOLOGICAL CONSULTANTS PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 20, 2010

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

Authorized official

Name
Bill F Allison
Title
Executive Director
Phone
(703) 698-4483

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

3299 Woodburn Rd
Suite 110
Annandale, VA 22003-1275

Mailing address

2722 Merrilee Dr
Suite 230
Fairfax, VA 22031-4400
Phone (703) 698-4483

Other identifiers 1

IdentifierTypeStateIssuer
033140OtherVAANTHEM BCBS

National Provider Directory

National Provider Directory
Tax ID family
Fairfax Rad Cons Inc23 organizations share this tax ID, including this one
Part of
Fairfax Rad Cons Inc

Other organizations with this tax ID 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284940800000",
    "number": "1689850554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2722 MERRILEE DR",
            "address_2": "SUITE 230",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314400",
            "telephone_number": "703-698-4483",
            "fax_number": "703-573-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3299 WOODBURN RD",
            "address_2": "SUITE 110",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220031275",
            "telephone_number": "703-698-4483",
            "fax_number": "703-573-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFAX RADIOLOGICAL CONSULTANTS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAIRFAX RADIOLOGICAL CONSULTANTS PC",
        "enumeration_date": "2008-01-10",
        "last_updated": "2010-09-20",
        "status": "A",
        "authorized_official_last_name": "ALLISON",
        "authorized_official_first_name": "BILL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "703-698-4483"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "033140",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Sep 20, 2010; 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.