# 3D BODY IMAGING LLC

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

## Provider details

- **NPI number:** 1336508910
- **Authorized official:** LUKE STIKELEATHER CO (OWNER)
- **Authorized official phone:** (703) 849-2208

## Contact information

- **Practice address:** 3023 HAMAKER CT, LL50, FAIRFAX, VA 22031-2207
- **Practice address phone:** (703) 849-8808
- **Practice address fax:** (703) 942-6062
- **Mailing address:** 11002 BLENHEIM DR, OAKTON, VA 22124-1801
- **Mailing address phone:** (703) 849-8808
- **Mailing address fax:** (703) 942-6062

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/11/2016
- **Last updated:** 02/11/2016
