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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 Specialty Code Provider Type

Magnetic Resonance Imaging (MRI)

261QM1200X
Indicates primary specialty

NPI Profile & details for INOVA RESTON MRI CENTER LLC

NPI # 1750616397
LBN Legal business name INOVA RESTON MRI CENTER LLC
Authorized official ALICE POPE - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/15/2009
Last updated 11/02/2022 - About 4 years ago
Identifiers
VA Medicaid 1972838993
WV Medicaid 3810017668
VA Other 9616343 AETNA - PPO
VA Other 6123294 AETNA HMO
VA Other 3120417 UHC
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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