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NPI Code Detail

MEDICARE: RADIOLOGIC ASSOCIATES OF FREDERICKSBURG LTD

MEDICARE: RADIOLOGIC ASSOCIATES OF FREDERICKSBURG LTD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0200XRadiology Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336386366
Entity Type Code : Organization
Provider Name (Legal Business Name) : RADIOLOGIC ASSOCIATES OF FREDERICKSBURG LTD
Provider Business Mailing Address
First Line : 10401 SPOTSYLVANIA AVE
Second Line : SUITE 200
City : FREDERICKSBURG
State : VA
Zip : 22408-8606
Country : US
Telephone Number : 540-361-1000
Fax Number : 540-361-7010
Provider Business Practice Location Address
First Line : 101 HOSPITAL CENTER BLVD
Second Line :
City : STAFFORD
State : VA
Zip : 22554-6200
Country : US
Telephone Number : 540-741-9000
Fax Number : 540-741-1029
Authorized Official
Title or Position : PRESIDENT
Name : CHRISTOPHER MEYER
Credential : MD
Telephone Number : 540-361-1000
Provider Enumeration Date : 01/13/2009
Last Update Date : 02/09/2024

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Directions to “RADIOLOGIC ASSOCIATES OF FREDERICKSBURG LTD ” Practice Location

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