| Organization Name: | MEDICAL IMAGING OF FREDERICKSBURG, LLC |
| NPI Number: | 1013950112 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | FRED M. RANKIN (PRESIDENT & CEO) |
| Mailing Address: | 1201 Sam Perry Blvd Suite 102 Fredericksburg |
| State: | VA US |
| Postal Code: | 224014490 |
| Phone Number: | 5407417025 |
| Fax Number: | 5407417048 |
| NPI Enumeration Date: | 06/14/2006 |
| NPI Last Update Date: | 11/14/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology |
| Taxonomy Definition: | |