Healthcare Provider Details

I. General information

NPI: 1932293628
Provider Name (Legal Business Name): VITAL SIGNS IMAGING AND DIAGNOSTICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 11/16/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7702 LEESBURG PIKE SUITE LL
FALLS CHURCH VA
22043-2600
US

IV. Provider business mailing address

7702 LEESBURG PIKE SUITE LL
FALLS CHURCH VA
22043-2600
US

V. Phone/Fax

Practice location:
  • Phone: 888-538-8743
  • Fax: 888-538-8743
Mailing address:
  • Phone: 888-538-8743
  • Fax: 888-538-8743

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0208X
TaxonomyMobile Radiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. WAJIHA KHAN
Title or Position: PRESIDENT
Credential:
Phone: 703-798-3995