Organization
MEDICAL IMAGING OF FREDERICKSBURG, LLC
Active
Other names
Imaging Center for Women
Organization subpart
No
Provider details
NPI number
Authorized official
RONI FAISAL TALUKDAR MD (MIF PRESIDENT)
(540) 361-1000
Entity
Organization
Contact information
Practice address
1300 HOSPITAL DR STE 100, FREDERICKSBURG, VA 22401-8451
(540) 741-3250
Mailing address
PO BOX 830008, PHILADELPHIA, PA 19182-0008
(540) 741-3250
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
292024
ANTHEM
VA
01
—
4452
CAREFIRST
VA
Enumeration date
06/04/2006
Last updated
01/18/2024
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