Organization
WOODBURN NUCLEAR MEDICINE, LTD
Active
Other names
Metro Region PET
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY PRINCE (DIRECTOR)
(480) 594-3884
Entity
Organization
Contact information
Practice address
3289 WOODBURN RD, 060, ANNANDALE, VA 22003-6800
(703) 698-0666
(703) 573-6120
Mailing address
3289 WOODBURN RD STE 60, ANNANDALE, VA 22003-7337
(703) 698-0666
(703) 573-6120
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
0101041611
VA
261QR0200X
Radiology Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036364400
—
DC
Enumeration date
12/20/2006
Last updated
04/13/2026
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