Provider Demographics
NPI:1649221185
Name:VIRGINIA RADIOLOGICAL ASSOCIATES PLLC
Entity Type:Organization
Organization Name:VIRGINIA RADIOLOGICAL ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RUSSELL
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:MCWEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-558-6230
Mailing Address - Street 1:11447 CRONHILL DRIVE
Mailing Address - Street 2:SUITE D
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117
Mailing Address - Country:US
Mailing Address - Phone:443-544-2335
Mailing Address - Fax:410-581-7383
Practice Address - Street 1:1701 N GEORGE MASON DRIVE
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22205
Practice Address - Country:US
Practice Address - Phone:703-558-6730
Practice Address - Fax:703-558-5741
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
G00318Medicare ID - Type Unspecified