=====================================================
General NPI Number Information
=====================================================
NPI Number | 1245100635
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PRECISE MEDICAL IMAGING
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/10/2025
-----------------------------------------------------
Last Update Date | 11/10/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4945 CHASTE TREE PL
-----------------------------------------------------
City | WOODBRIDGE
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22192-5441
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 571-251-8680
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4945 CHASTE TREE PL
-----------------------------------------------------
City | WOODBRIDGE
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22192-5441
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 571-251-8680
-----------------------------------------------------
Fax | 571-251-8680
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | AMINA M KHALIF
-----------------------------------------------------
Credential | RDCS, CBCS
-----------------------------------------------------
Telephone | 571-251-8680
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2471V0105X
-----------------------------------------------------
Taxonomy Name | Vascular Sonography Radiologic Technologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 246XS1301X
-----------------------------------------------------
Taxonomy Name | Sonography Specialist/Technologist Cardiovascular
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------