# FAIRFAX RADIOLOGICAL CONSULTANTS PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Breast Center of Fairfax
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699328500
- **Authorized official:** KIM MASTERS (CCO)
- **Authorized official phone:** (703) 698-4444

## Contact information

- **Practice address:** 8260 WILLOW OAKS CORPORATE DR STE 200, FAIRFAX, VA 22031-4515
- **Practice address phone:** (703) 698-4488
- **Mailing address:** 2722 MERRILEE DR STE 230, FAIRFAX, VA 22031-4416
- **Mailing address phone:** (703) 698-4444

## Taxonomy

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

## Other

- **Enumeration date:** 07/19/2019
- **Last updated:** 07/19/2019