Organization
FAIRFAX RADIOLOGICAL CONSULTANTS PC
Active
Parent organization
FAIRFAX RADIOLOGICAL CONSULTANTS PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAIRFAX RADIOLOGICAL CONSULTANTS PC
Authorized official
THOMAS L ELLIOTT (CEO)
(703) 698-4444
Entity
Organization
Contact information
Practice address
3801 UNIVERSITY DR, STE 120, FAIRFAX, VA 22030-2503
(703) 698-4467
(703) 788-8422
Mailing address
2722 MERRILEE DR STE 230, FAIRFAX, VA 22031-4400
(703) 698-4444
(703) 204-0116
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
261QR0206X
Mammography Clinic/Center
—
—
Other
Enumeration date
08/15/2013
Last updated
06/20/2018
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