Organization
FAIRFAX RADIOLOGY BREAST CENTER OF LOUDOUN
Active
Parent organization
IFRC, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
IFRC, LLC
Authorized official
KIM MASTERS (CHIEF OPERATING OFFICER)
(703) 698-4444
Entity
Organization
Contact information
Practice address
19465 DEERFIELD AVE STE 105, LANSDOWNE, VA 20176-1702
(703) 788-8426
(571) 382-6587
Mailing address
2722 MERRILEE DR STE 230, FAIRFAX, VA 22031-4400
(703) 698-4444
(703) 698-2176
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
—
—
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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