Provider Demographics
NPI:1639277437
Name:NORTHERN VIRGINIA IMAGING, LLC.
Entity Type:Organization
Organization Name:NORTHERN VIRGINIA IMAGING, LLC.
Other - Org Name:RADIOLOGY IMAGING ASSOCIATES AT LANSDOWNE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR/RADIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:P
Authorized Official - Last Name:FINIZIO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-856-6718
Mailing Address - Street 1:7801 OLD BRANCH AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-1608
Mailing Address - Country:US
Mailing Address - Phone:301-856-6718
Mailing Address - Fax:301-856-6722
Practice Address - Street 1:44055 RIVERSIDE PKWY
Practice Address - Street 2:SUITE #108-B
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176-5179
Practice Address - Country:US
Practice Address - Phone:703-858-3040
Practice Address - Fax:703-858-9050
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORTHERN VIRGINIA IMAGING, LLC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-09-20
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA7200501Medicaid
VA0679OtherCAREFIRST NCA GROUP NUMBE
VA1602470OtherUNITED HEALTH CARE
VA524468OtherALLIANCE (MRI)
VA5345743OtherAETNA PPO
VA2152641OtherAETNA HMO
VA183190OtherANTHEM
VAKX07RAOtherCAREFIRST GROUP NUMBER
VA=========/001OtherTRICARE GROUP NUMBER
VACG2432Medicare PIN
VA0679OtherCAREFIRST NCA GROUP NUMBE