MEDICAL IMAGING OF FREDERICKSBURG, LLC (NPI# 1811193899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811193899 |
| Entity Type | Organization |
| Organization Name | MEDICAL IMAGING OF FREDERICKSBURG, LLC |
| Other Organization Name | MEDICAL IMAGING OF NORTH STAFFORD |
| Practice Address |
125 Woodstream Boulevard Suite 109 Stafford VA 22556 |
| Practice Telephone | 5407413402 |
| Mailing Telephone | 5407413402 |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2011-11-14 |
| Authorized Official Name | MR. FRED M. RANKIN III (PRESIDENT & CEO) |
| Authorized Official Telephone | 5407411414 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Medical Imaging of North Stafford | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841239886 | Medical Imaging of Fredericksburg, LLC | Clinic/Center | 10401 Spotsylvania Ave, Suite #100-1, Fredericksburg, VA 22408-2691 | 2006-06-05 |
| 1013950112 | Medical Imaging of Fredericksburg, LLC | Clinic/Center | 1201 Sam Perry Blvd, Suite 102, Fredericksburg, VA 22401-4490 | 2006-06-14 |
| 1306884739 | Medical Imaging of Fredericksburg, LLC | Clinic/Center | 1300 Hospital Dr, Fredericksburg, VA 22401-8451 | 2006-06-04 |
| Street Address |
125 WOODSTREAM BOULEVARD SUITE 109 |
| City | STAFFORD |
| State | VA |
| Zip Code | 22556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528686995 | In Place Health Providers LLC | Home Health | 40 Winning Colors Rd, Stafford, VA 22556 | 2020-07-11 |
| 1285284653 | Mesanhe Dolsenhe | Physician Assistant | 24008 Belleau Ave, Fpo, AA 22556 | 2019-09-17 |
| 1336661271 | Cala Booth | Licensed Practical Nurse | 48 Boundary Dr, Stafford, VA 22556 | 2017-07-12 |
| 1790130235 | Travis Cole | Contractor | 80 Cherry Hill Drive, Stafford, VA 22556 | 2016-05-03 |
| 1346536075 | Janice Soliven | Family Medicine | 95 Dunn St, Suite 123, Stafford, VA 22556 | 2011-06-21 |
| 1548560782 | Richmond Medical Group | Non-Pharmacy Dispensing Site | 60 Prosperity Lane, Stafford, VA 22556 | 2010-10-21 |
| 1952323131 | Kevin Lee Dixon | Optometrist | 120 Soaring Eagle Dr, Stafford, VA 22556 | 2006-07-24 |
| 1457381766 | Pediatric Partners of Stafford PC | Pediatrics | 110 Soaring Eagle Drive, Stafford, VA 22556 | 2006-07-03 |
| 1386138436 | Laura Massena-mazur Coutcher | Pharmacist | 1505 Stafford Market Pl, Stafford, VA 22556 | 2018-06-20 |
| 1336530146 | Jordona Ndon | Nurse Practitioner | 95 Dunn Dr, Stafford, VA 22556 | 2015-02-16 |
| Find all providers in zip 22556 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336386366 | Radiologic Associates of Fredericksburg | Clinic/Center | 101 Hospital Center Blvd, Stafford, VA 22554-6200 | 2009-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346898897 | Viva Richmond LLC | Clinic/Center | 6600 W Broad St Ste 200b, Richmond, VA 23230-1709 | 2019-08-28 |
| 1699328500 | Fairfax Radiological Consultants PC | Clinic/Center | 8260 Willow Oaks Corporate Dr Ste 200, Fairfax, VA 22031-4515 | 2019-07-19 |
| 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 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.