Provider Demographics
NPI:1255422325
Name:NORTHERN VIRGINIA IMAGING, LLC
Entity type:Organization
Organization Name:NORTHERN VIRGINIA IMAGING, LLC
Other - Org Name:
Other - Org Type:
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:#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 1:19455 DEERFIELD AVEUNE
Practice Address - Street 2:102 &103
Practice Address - City:LANSDOWNE
Practice Address - State:VA
Practice Address - Zip Code:20176
Practice Address - Country:US
Practice Address - Phone:703-858-0001
Practice Address - Fax:301-856-6722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2017-02-09
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
VA238799OtherANTHEM
VA624477OtherALLIANCE (NON-MRI)
VA1428934OtherAETNA HMO
VA924468OtherALLIANCE (MRI)
VAKX07RAOtherCAREFIRST GROUP NUMBER
VA1602470OtherUNITED HEALTH CARE
VA0679OtherCAREFIRST NCA GROUP NUMBE
VA7200501OtherMEDICAID
VA7406939OtherAETNA PPO
VA1428934OtherAETNA HMO
VA624477OtherALLIANCE (NON-MRI)
VAC09794Medicare PIN