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Organization
RESTON RADIOLOGY CONSULTANTS INTERVENTIONAL SERVICES, LLC
Active
Organization
RESTON RADIOLOGY CONSULTANTS INTERVENTIONAL SERVICES, LLC
Active
Parent organization
FAIR OAKS IMAGING CENTER PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAIR OAKS IMAGING CENTER PC
Authorized official
MR. JEFF ATKIN (CEO)
(703) 726-1201
Entity
Organization
Contact information
Practice address
4001 FAIR RIDGE DR STE 103, FAIRFAX, VA 22033-2917
(703) 385-5203
(703) 385-3058
Mailing address
20116 ASHBROOK PL STE 150, ASHBURN, VA 20147-5087
(703) 726-1201
(703) 858-7150
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
VA
Other
Enumeration date
04/11/2018
Last updated
04/11/2018
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