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Organization

ATLANTIC COAST ECHOCARDIOGRAPHY AND SONOGRAPHY LLC.

Active
Other names
A.C.Echos
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHNATHON MICHAEL EDMONDSON (PRESIDENT/OWNER)
(703) 830-6789
Entity
Organization

Contact information

Practice address
12587 FAIR LAKES CIR, SUITE# 276, FAIRFAX, VA 22033-3822
(703) 830-6789
(703) 830-6790
Mailing address
12587 FAIR LAKES CIR, SUITE# 276, FAIRFAX, VA 22033-3822
(703) 830-6789
(703) 830-6790

Taxonomy

Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary
2471V0105X
Vascular Sonography Radiologic Technologist

Other

Enumeration date
02/04/2009
Last updated
02/04/2009
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