TYSON'S CORNER DIAGNOSTIC IMAGING INC NPI 1417915711

NPI Information

  • NPI: 1417915711
  • Provider Name: TYSON'S CORNER DIAGNOSTIC IMAGING INC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Doing Business As: TYSONS CORNER DIAGNOSTIC IMAGING
  • CLIA Number: 49D2269699
  • Address: 8320 OLD COURTHOUSE RD
    SUITE 130-B
    VIENNA, VA
    ZIP 22182
  • Phone: (703) 356-4900

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NPI Details

TYSON'S CORNER DIAGNOSTIC IMAGING INC is a diagnostic radiology radiology in Vienna, VA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. TYSON'S CORNER DIAGNOSTIC IMAGING INC NPI is 1417915711. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Tysons Corner Diagnostic Imaging.

The provider's business location address is:

8320 OLD COURTHOUSE RD
SUITE 130-B
VIENNA, VA
ZIP 22182-831
Phone: (703) 356-4900
Fax: (703) 356-4602

The provider's authorized official is Jason Howard .
The authorized official title is Ceo and has the following contact phone number (678) 992-7255.

The CLIA number assigned to this NPI record is 49D2269699 - independent with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, gadobutrol, 0.1 ml (HCPCS:A9585)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • Mri scan of arm joint without contrast (HCPCS:73221)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • Ct scan of arm without contrast (HCPCS:73200)
  • X-ray of hand, 2 views (HCPCS:73120)
  • X-ray of wrist, 2 views (HCPCS:73100)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • Mri scan of leg without contrast (HCPCS:73718)
  • Ct scan of leg without contrast (HCPCS:73700)
  • Mri scan of middle spinal canal without contrast (HCPCS:72146)
  • Mri scan of jaw joint (HCPCS:70336)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of middle spine, 2 views (HCPCS:72070)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Mri scan of pelvis without contrast (HCPCS:72195)
  • Mri scan of lower spinal canal before and after contrast (HCPCS:72158)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)

The enumeration date for this NPI number is 5/3/2006 and was last updated on 4/15/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyVIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1S372OTHERCAREFIRST
2004991397MEDICAIDVIRGINIA
3470001480OTHERMEDICARE RR

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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