National Provider Identifier Database

INOVA RESTON MRI CENTER LLC
Magnetic Resonance Imaging (MRI)


Contact Information

INOVA RESTON MRI CENTER LLC
100 ELDEN ST STE 16M
HERNDON, VA20170-4873
Phone: 703-481-9400
Fax: 703-481-9408
Website:
Specialty Taxonomy Code
* Magnetic Resonance Imaging (MRI) 261QM1200X

* Indicates primary specialty

NPI Profile & details for INOVA RESTON MRI CENTER LLC

NPI Number 1750616397
Legal business name
LBN
INOVA RESTON MRI CENTER LLC
Authorized official ALICE POPE - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart No
Enumeration date 10/15/2009
Last updated 11/02/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • VA Medicaid: 1972838993
  • WV Medicaid: 3810017668
  • VA Other: 9616343 AETNA - PPO
  • VA Other: 6123294 AETNA HMO
  • VA Other: 3120417 UHC

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for INOVA RESTON MRI CENTER LLC

There are currently no reviews for INOVA RESTON MRI CENTER LLC


NPIdb - Home
v2.201