OrganizationActive
Fairfax Cardiac Imaging, LLC
NPI 1336331552 · Portable X-ray and/or Other Portable Diagnostic Imaging Supplier · Fairfax, VA
Provider details
- NPI number
- 1336331552
- Entity type
- Organization
- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Thienquang Le, Managing Partner(703) 716-5404
- License
- MD-03-111-01 (MD)
Specialties & taxonomies
- Portable X-ray and/or Other Portable Diagnostic Imaging SupplierPrimary335V00000XLicense MD-03-111-01 (MD)
Suppliers
Practice location
3700 Joseph Siewick Dr
Suite 402
Fairfax, VA 22033-1744
Phone: (703) 716-5404
Fax: (703) 716-5410
Approximate (ZIP-level) locationGet directions
Mailing address
3700 Joseph Siewick Dr
Fairfax, VA 22033-1744
Registry dates
- Enumerated
- 2007-08-11
- Last updated
- 2007-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.