Provider Demographics
NPI:1033359351
Name:EAGLEEYE RADIOLOGY, INC
Entity Type:Organization
Organization Name:EAGLEEYE RADIOLOGY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:SITTNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-652-1200
Mailing Address - Street 1:21525 RIDGETOP CIR STE 260
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20166-6510
Mailing Address - Country:US
Mailing Address - Phone:703-652-1200
Mailing Address - Fax:703-880-7401
Practice Address - Street 1:21525 RIDGETOP CIR STE 260
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20166-6510
Practice Address - Country:US
Practice Address - Phone:703-652-1200
Practice Address - Fax:703-880-7401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-26
Last Update Date:2018-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
No2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody ImagingGroup - Single Specialty