Organization
FAIRFAX RADIOLOGICAL CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM MASTERS (CHIEF OPERATING OFFICER)
(703) 698-4444
Entity
Organization
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 698-4483
(703) 204-0116
Mailing address
8260 WILLOW OAKS CORPORATE DR STE 750, FAIRFAX, VA 22031-4523
(703) 698-4483
(703) 204-0116
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
033140
ANTHEM BCBS
VA
01
—
088987
ANTHEM BCBS
VA
01
—
089016
ANTHEM BCBS
VA
01
—
089044
ANTHEM BCBS
VA
01
—
089072
ANTHEM BCBS
VA
01
—
100497
KAISER
—
01
—
115091
ANTHEM BCBS
VA
01
—
189288
ANTHEM BCBS
VA
01
—
189289
ANTHEM BCBS
VA
01
—
189293
ANTHEM BCBS
VA
01
—
224403
ANTHEM BCBS
VA
01
—
224404
ANTHEM BCBS
VA
01
—
2251430
MAMSI - OFFICE
VA
01
—
231506
ANTHEM BCBS
VA
01
—
231507
ANTHEM BCBS
VA
01
—
2325664
UNITED HEALTH CARE
VA
01
—
234149
ANTHEM BCBS
VA
01
—
258371
ANTHEM BCBS
VA
01
—
258372
ANTHEM BCBS
VA
01
—
302282
ANTHEM BCBS
VA
01
—
314478
MAMSI
VA
01
—
3995
CAREFIRST
—
05
—
4000503-000
—
WV
01
—
453969
ANTHEM BCBS
VA
01
—
484920
NCPPO
—
05
—
6558011 00
—
MD
01
—
7364052001
CIGNA
—
01
—
8560910
AETNA NON HMO
—
01
—
9363
AETNA HMO
—
Enumeration date
12/08/2005
Last updated
02/02/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us