Inova Reston Mri Center LLC

NPI #1972838993 in Herndon, Virginia

Provider Information

NPI Number: 1972838993
Entity Type: Organization
Organization Name: Inova Reston Mri Center LLC
Primary Specialty: Radiology - Diagnostic Radiology
Enumeration Date: Oct 8, 2009
Last Updated: Nov 2, 2022

Practice Location

Address: 100 ELDEN ST
Address 2: SUITE 16M
City: Herndon
State: Virginia
ZIP Code: 20170-4873
Phone: (703) 481-9400

Authorized Official

Name: ALICA POPE
Title: CHIEF FINANCIAL OFFICER
Phone: (703) 289-2048

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Magnetic Resonance Imaging (MRI) — Magnetic Resonance Imaging (MRI)	261QM1200X
Clinic/Center - Radiology — Radiology	261QR0200X
Radiology - Diagnostic Radiology — Diagnostic Radiology	2085R0202X	Primary

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