Fairfax Radiology Breast Center of Loudoun

NPI #1356943278 in Lansdowne, Virginia

Provider Information

NPI Number: 1356943278
Entity Type: Organization
Organization Name: Fairfax Radiology Breast Center of Loudoun
Subpart: Yes (part of a larger organization)
Parent Organization: IFRC, LLC
Primary Specialty: Clinic/Center - Radiology, Mammography
Enumeration Date: Nov 16, 2020
Last Updated: Nov 16, 2020

Practice Location

Address: 19465 DEERFIELD AVE STE 105
City: Lansdowne
State: Virginia
ZIP Code: 20176-1702
Phone: (703) 788-8426

Authorized Official

Name: KIM MASTERS
Title: CHIEF OPERATING OFFICER
Phone: (703) 698-4444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Radiology, Mammography — Radiology, Mammography	261QR0206X	Primary

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