Organization
MEDICAL IMAGING OF FREDERICKSBURG, LLC
Active
Other names
Medical Imaging of Embrey Mill, Medical Imaging of Fredericksburg, Medical Imaging of Harrison Crossing, Imaging Center for Women at North Stafford
Organization subpart
No
Provider details
NPI number
Authorized official
RONI FAISAL TALUKDAR MD (MIF PRESIDENT)
(540) 361-1000
Entity
Organization
Contact information
Practice address
1201 SAM PERRY BLVD STE 102, FREDERICKSBURG, VA 22401-4490
(540) 741-7025
Mailing address
PO BOX 830008, PHILADELPHIA, PA 19182-0008
(540) 741-7025
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
292008
ANTHEM
VA
01
—
3165
CAREFIRST
VA
01
—
317546
MAMSI
VA
01
—
=========
TRICARE
VA
Enumeration date
06/14/2006
Last updated
03/07/2024
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