Fairfax Pet Imaging Center, LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

FAIRFAX PET IMAGING CENTER, LLC

Practice address

8503 Arlington Blvd
Suite Ll100
Fairfax, VA 22031-4628

Phone

(703) 698-4444

Fax

(703) 698-2176

NPI assigned

Jun 10, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James P Earls, M.D.

Title

Medical Director

Phone

(703) 698-4444

Specialties & licenses 1

Addresses

Member of 1

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

• Fairfax Radiological Consultants

  • Specialist
  • Falls Church, VA
  • NPI 1114902509

  Member Of

  NPD member

Locations

Practitioners 1

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.

• Rodney J Butch, M.D.

  • Diagnostic Radiology Physician
  • Fairfax, VA
  • NPI 1043240419
  NPD (past)

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861433674",
    "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": "703-698-4444",
            "fax_number": "703-698-2176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8503 ARLINGTON BLVD",
            "address_2": "SUITE LL100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314628",
            "telephone_number": "703-698-4444",
            "fax_number": "703-698-2176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFAX PET IMAGING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EARLS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "703-698-4444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fairfax Oral and Maxillofacial Surgery PC
• Fairfax Oriental Acupuncture
• Fairfax Orthodontic Associates, PLLC
• Fairfax Pediatric Therapy
• Fairfax Periodontal and Implant Center, PLLC
• Fairfax Physical Therapy, Incorporated
• Fairfax Place Therapy
• Fairfax Pulmonary & Critical Care Group LLC
• Fairfax Radiological Consultants PC
• Fairfax Radiological Consultants PC

• Radiology Clinic/Center in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Radiology Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.