Potomac Inova Healthcare Alliance, LLC

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

POTOMAC INOVA HEALTHCARE ALLIANCE, LLC

Practice address

2296 Opitz Blvd
Suite 140
Woodbridge, VA 22191-3300

Phone

(703) 670-9063

Fax

(703) 670-9065

NPI assigned

Apr 15, 2008

Organization subpart

No

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

Authorized official

Name

Colleen Huelskamp

Title

Project Manager

Phone

(703) 204-6371

Specialties & licenses 1

Addresses

Other names 1

• Woodbridge PET/CT Doing business as

Member of 2

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

• Inova Health Care Services

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Falls Church, VA
  • NPI 1568593440

  Member Of

  NPD member
• Potomac Hospital Corporation of Prince William

  • General Acute Care Hospital
  • Woodbridge, VA
  • NPI 1548366404

  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.

• Richard Barbu, M.D.

  • Diagnostic Radiology Physician
  • Springfield, VA
  • NPI 1437250875
  NPD (past)

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290470400000",
    "number": "1962676593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2990 TELESTAR CT",
            "address_2": "SUITE 3PI",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220421207",
            "telephone_number": "571-423-5727",
            "fax_number": "571-423-5702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2296 OPITZ BLVD",
            "address_2": "SUITE 140",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913300",
            "telephone_number": "703-670-9063",
            "fax_number": "703-670-9065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTOMAC INOVA HEALTHCARE ALLIANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2010-11-23",
        "status": "A",
        "authorized_official_last_name": "HUELSKAMP",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "PROJECT MANAGER",
        "authorized_official_telephone_number": "703-204-6371"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodbridge PET/CT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Potomac Hospital
• Potomac Hospital Corporation of Prince William
• Potomac Hospital Corporation of Prince William
• Potomac Inova Healthcare Alliance
• Potomac Inova Healthcare Alliance, LLC
• Potomac Internal Medicine,PLLC
• Potomac Mills Family Dental
• Potomac Ophthalmology PC
• Potomac Orthodontics PLLC
• Potomac Pathology PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.