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Organization
INOVA RESTON MRI CENTER LLC
Active
Organization
INOVA RESTON MRI CENTER LLC
Active
Other names
FAIRFAX PET CT IMAGING CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE POPE (CHIEF FINANCIAL OFFICER)
(703) 289-2048
Entity
Organization
Contact information
Practice address
8081 INNOVATION PARK DR STE 204, FAIRFAX, VA 22031-4867
(703) 698-9600
(703) 698-5930
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
Other
Enumeration date
10/15/2009
Last updated
11/02/2022
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