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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
THOMAS L ELLIOTT (CEO)
(703) 698-4444
Entity
Organization
Contact information
Practice address
3801 UNIVERSITY DR, STE 120, FAIRFAX, VA 22030-2503
(703) 698-4467
(703) 788-8422
Mailing address
2722 MERRILEE DR STE 230, FAIRFAX, VA 22031-4400
(703) 698-4444
(703) 204-0116
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
NULL
261QR0206X
Mammography Clinic/Center
—
NULL
Other
Enumeration date
08/15/2013
Last updated
06/20/2018
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