# MEDICAL IMAGING OF FREDERICKSBURG, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medical Imaging of North Stafford
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811193899
- **Authorized official:** RONI FAISAL TALUKDAR MD (MIF PRESIDENT)
- **Authorized official phone:** (540) 361-1000

## Contact information

- **Practice address:** 125 WOODSTREAM BLVD STE 109, STAFFORD, VA 22556-4630
- **Practice address phone:** (540) 657-9729
- **Mailing address:** PO BOX 830008, PHILADELPHIA, PA 19182-0008
- **Mailing address phone:** (540) 657-9729

## Taxonomy

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

## Other

- **Enumeration date:** 06/26/2007
- **Last updated:** 01/18/2024