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Organization
ICONIC DAGNOSTIC IMAGING INC
Active
Organization
ICONIC DAGNOSTIC IMAGING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA CHRISTOPOULOS (CEO)
(703) 209-2544
Entity
Organization
Contact information
Practice address
10721 MAIN ST, #204, FAIRFAX, VA 22030-6914
(703) 209-2544
Mailing address
10721 MAIN ST, #204, FAIRFAX, VA 22030-6914
(703) 209-2544
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
—
Other
Enumeration date
07/11/2011
Last updated
07/11/2011
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