# FAIRFAX RADIOLOGICAL CONSULTANTS PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FAIRFAX RADIOLOGICAL CONSULTANTS PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1467885228
- **Legal business name:** FAIRFAX RADIOLOGICAL CONSULTANTS PC
- **Authorized official:** THOMAS L ELLIOTT (CEO)
- **Authorized official phone:** (703) 698-4444

## Contact information

- **Practice address:** 3801 UNIVERSITY DR, STE 120, FAIRFAX, VA 22030-2503
- **Practice address phone:** (703) 698-4467
- **Practice address fax:** (703) 788-8422
- **Mailing address:** 2722 MERRILEE DR STE 230, FAIRFAX, VA 22031-4400
- **Mailing address phone:** (703) 698-4444
- **Mailing address fax:** (703) 204-0116

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | — | NULL | Yes |
| 261QR0206X | Mammography Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/15/2013
- **Last updated:** 06/20/2018