NPI 1346538428

Iconic Dagnostic Imaging INC

Organisation Diagnostic Ultrasound Physician Fairfax, VA

Practice location

Address: 10721 Main St #204, Fairfax, VA 22030-6914
Phone: (703) 209-2544

Authorised official

Name: Maria Christopoulos
Title: Ceo
Phone: (703) 209-2544

Registered specialties

Diagnostic Ultrasound Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085U0001X

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Registry record

NPI: 1346538428
Entity type: Organization
NPI issued: 11 Jul 2011
Record last updated: 11 Jul 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.