Provider Demographics
NPI:1700935913
Name:B & B TECHNOLOGY, INC.
Entity Type:Organization
Organization Name:B & B TECHNOLOGY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:GERALDINE
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:BIAN
Authorized Official - Suffix:
Authorized Official - Credentials:RDCS, RDMS, DCRR
Authorized Official - Phone:703-892-1092
Mailing Address - Street 1:609 S GLEBE RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22204-2452
Mailing Address - Country:US
Mailing Address - Phone:703-892-1092
Mailing Address - Fax:
Practice Address - Street 1:609 S GLEBE RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22204-2452
Practice Address - Country:US
Practice Address - Phone:703-892-1092
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAFDCU01Medicare ID - Type UnspecifiedIDTF