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Contact Information

ICONIC DAGNOSTIC IMAGING INC
10721 MAIN ST
#204
FAIRFAX, VA22030-6914
 Phone: 703-209-2544
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Ultrasound

2085U0001X
Indicates primary specialty

NPI Profile & details for ICONIC DAGNOSTIC IMAGING INC

NPI Number 1346538428
LBN Legal business name ICONIC DAGNOSTIC IMAGING INC
Authorized official MARIA CHRISTOPOULOS - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 07/11/2011
Last updated 07/11/2011 - About 15 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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