Fairfax Cardiac Imaging, LLC

NPI #1336331552 in Fairfax, Virginia

Provider Information

NPI Number: 1336331552
Entity Type: Organization
Organization Name: Fairfax Cardiac Imaging, LLC
Primary Specialty: Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Enumeration Date: Aug 11, 2007
Last Updated: Aug 11, 2007

Practice Location

Address: 3700 JOSEPH SIEWICK DR
Address 2: SUITE 402
City: Fairfax
State: Virginia
ZIP Code: 22033-1744
Phone: (703) 716-5404

Authorized Official

Name: DR. THIENQUANG DAT LE, M.D.
Title: MANAGING PARTNER
Phone: (703) 716-5404

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	335V00000X	Primary

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