3D BODY IMAGING LLC (NPI# 1336508910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336508910 |
Entity Type | Organization |
Organization Name | 3D BODY IMAGING LLC |
Practice Address |
3023 Hamaker Ct Ll50 Fairfax VA 22031-2207 |
Mailing Address |
11002 Blenheim Dr Oakton VA 22124-1801 |
Practice Telephone | 7038498808 |
Practice Fax Number | 7039426062 |
Mailing Telephone | 7038498808 |
Mailing Fax Number | 7039426062 |
Enumeration Date | 2016-02-11 |
Last Update Date | 2016-02-11 |
Authorized Official Name | LUKE STIKELEATHER (OWNER) |
Authorized Official Telephone | 7038492208 |
Authorized Official Credential | CO |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
Street Address |
3023 HAMAKER CT LL50 |
City | FAIRFAX |
State | VA |
Zip Code | 22031-2207 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023082864 | Ivette Anne Couret | Obstetrics & Gynecology | 3023 Hamaker Ct, Suite 210a, Fairfax, VA 22031-2222 | 2006-02-16 |
1578129359 | Ashleigh Bronwyn Mccoy | Physician Assistant | 3023 Hamaker Ct, Fairfax, VA 22031-2207 | 2019-05-16 |
1386174084 | Haley Marie Gilmore Smith | Registered Nurse | 3023 Hamaker Ct, Fairfax, VA 22031-2207 | 2017-06-14 |
1568902567 | Jessica Erin Stafford | Nurse Practitioner | 3023 Hamaker Ct, Fairfax, VA 22031-2207 | 2017-02-24 |
1770025876 | Margaret Goss | Nurse Practitioner | 3023 Hamaker Ct, Fairfax, VA 22031-2207 | 2016-11-07 |
1730530486 | Courtney Joy Nahigian | Nurse Practitioner | 3023 Hamaker Ct, Fairfax, VA 22031-2207 | 2016-06-23 |
1427406727 | Peggy Vollstad | Physician Assistant | 3023 Hamaker Ct, Suite 200, Fairfax, VA 22031-2207 | 2016-05-26 |
1649638768 | Luke Stikeleather | Orthotist | 3023 Hamaker Ct, Suite Ll-50, Fairfax, VA 22031-2207 | 2016-02-03 |
1437557113 | Scoliosis Solutions LLC | Durable Medical Equipment & Medical Supplies | 3023 Hamaker Ct, Suite Ll-50, Fairfax, VA 22031-2207 | 2014-12-12 |
1407275662 | Meaghan Kelly | Psychiatry & Neurology | 3023 Hamaker Ct, Fairfax, VA 22031-2207 | 2014-04-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902414105 | Su Jung Kang | Dentist | 9661-c Main Street, Fairfax, VA 22031 | 2020-07-14 |
1346896347 | Fuling Guo | Acupuncturist | 3013 James St, Fairfax, VA 22031 | 2019-08-15 |
1902458797 | Kayla Callister | Psychologist | 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 | 2019-07-11 |
1790349801 | Fairfax Dental Esthetics | Dentist | 9621 Fairfax Blvd., Fairfax, VA 22031 | 2019-04-24 |
1417427675 | Kathryn Yen Ho | Speech-Language Pathologist | 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031 | 2018-11-30 |
1932681376 | Joanne Towers | Physician Assistant | 3025 Hamaker Court Suite 300, Fairfax, VA 22031 | 2018-09-01 |
1790262020 | S Renee Dennis | Nurse Practitioner | 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 | 2018-07-19 |
1013493451 | Elizabeth Joan Dwyer | Physician Assistant | 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 | 2018-07-18 |
1316432669 | Delta Pharm LLC | Pharmacy | 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 | 2018-06-28 |
1629567656 | Laura Breeden | Acupuncturist | 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 | 2018-05-04 |
Find all providers in zip 22031 |
Taxonomy Code | 261QR0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Radiology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699328500 | Fairfax Radiological Consultants PC | Clinic/Center | 8260 Willow Oaks Corporate Dr Ste 200, Fairfax, VA 22031-4515 | 2019-07-19 |
1952636581 | Inova Reston Mri Center LLC | Clinic/Center | 8503 Arlington Blvd, Suite Ll100, Fairfax, VA 22031-4628 | 2009-10-15 |
1861433674 | Fairfax Pet Imaging Center, LLC | Clinic/Center | 8503 Arlington Blvd, Suite Ll100, Fairfax, VA 22031-4628 | 2006-06-10 |
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1346898897 | Viva Richmond LLC | Clinic/Center | 6600 W Broad St Ste 200b, Richmond, VA 23230-1709 | 2019-08-28 |
1215438544 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Clinic/Center | 12320 W Broad St Ste 100a, Richmond, VA 23233 | 2018-02-22 |
1447538558 | Medarva Imaging | Clinic/Center | 1630 Wilkes Ridge Pkwy Ste 100, Richmond, VA 23233-7460 | 2011-07-25 |
1982995296 | Grafton Ct Imaging LLC | Clinic/Center | 4030 George Washington Mem Hwy Ste A, Grafton, VA 23692-2619 | 2011-04-21 |
1447555115 | Bon Secours-virginia Healthsource, Inc. | Clinic/Center | 7110 Forest Ave Ste 100, Richmond, VA 23226-3762 | 2011-01-11 |
1356646004 | Bon Secours-virginia Healthsource, Inc. | Clinic/Center | 11525 Midlothian Tpke Ste 103, Richmond, VA 23235-4763 | 2011-01-11 |
1255586277 | Bon Secours - Richmond Community Hospital, Incorporated | Clinic/Center | 4630 S. Laburnum Ave., Suite C, Richmond, VA 23231 | 2008-11-18 |
1811193899 | Medical Imaging of Fredericksburg, LLC | Clinic/Center | 125 Woodstream Boulevard, Suite 109, Stafford, VA 22556 | 2007-06-26 |
1801946090 | Patient First Ct, LLC | Clinic/Center | 8247 Meadowbridge Rd, Mechanicsville, VA 23116-2329 | 2007-01-11 |
1215047964 | Ri, Lp | Clinic/Center | 8013 Midlothian Tpke, Richmond, VA 23235-5278 | 2006-08-30 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.