# IMAGE MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295026086
- **Authorized official:** DR. SHIRZAD ALEXANDROS RAHIMI CSA (CFO)
- **Authorized official phone:** (301) 367-1666

## Contact information

- **Practice address:** 14701 LEE HWY, SUITE 303, CENTREVILLE, VA 20121-2137
- **Practice address phone:** (301) 367-1666
- **Mailing address:** P.O. BOX 231059, CENTREVILLE, VA 20120
- **Mailing address phone:** (301) 367-1666

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | — | NULL | Yes |
| 363AS0400X | Surgical Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 04/27/2011
- **Last updated:** 04/27/2011