Organization
INOVA RESTON MRI CENTER LLC
Active
Other names
FAIRFAX PET CT IMAGING CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE POPE (CHIEF FINANCIAL OFFICER)
(703) 289-2048
Entity
Organization
Contact information
Practice address
8081 INNOVATION PARK DR STE 204, FAIRFAX, VA 22031-4867
(703) 698-9600
(703) 698-5930
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
—
—
Other
Enumeration date
10/15/2009
Last updated
11/02/2022
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