Organization
ATHENA RADIOLOGY, LLC
Active
Other names
Athena Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN W. CHANG M.D. (PRESIDENT)
(703) 356-9899
Entity
Organization
Contact information
Practice address
1980 GALLOWS RD, TYSONS CORNER, VA 22182-3913
(703) 356-9899
Mailing address
1980 GALLOWS RD, TYSONS CORNER, VA 22182-3913
(703) 356-9899
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0203X
Therapeutic Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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