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Organization
FAIRFAX RADIOLOGICAL CONSULTANTS PC
Active
Organization
FAIRFAX RADIOLOGICAL CONSULTANTS PC
Active
Parent organization
FAIRFAX RADIOLOGICAL CONSULTANTS PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAIRFAX RADIOLOGICAL CONSULTANTS PC
Authorized official
BILL F ALLISON (EXECUTIVE DIRECTOR)
(703) 698-4483
Entity
Organization
Contact information
Practice address
115 PARK ST SE, STE 203, VIENNA, VA 22180-4653
(703) 698-4483
(703) 573-0880
Mailing address
PO BOX 3650, MERRIFIELD, VA 22116-3650
(703) 698-4444
(703) 573-0880
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
NULL
174400000X
Specialist
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
NULL
261QR0206X
Mammography Clinic/Center
221597
VA
Other
Enumeration date
01/10/2008
Last updated
01/12/2011
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