MEDICAL IMAGING OF FREDERICKSBURG
NPI 1013950112
Clinic/Center - Radiology in Fredericksburg, VA

Active since June 14, 2006CLIA 49D1091309 · Waiver
1201 SAM PERRY BLVD STE 102, FREDERICKSBURG, VA 22401(540) 741-7025 Get Directions Write a Review

NPPES record last updated: March 7, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 7, 2024, Aug 17, 2018 (2 updates tracked since 2018).

About Medical Imaging Of Fredericksburg NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDICAL IMAGING OF FREDERICKSBURG (NPI 1013950112) is a healthcare organization registered as a radiology in Fredericksburg, Virginia and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through October 28, 2026, maintains 3 additional practice locations, and lists Roni Faisal Talukdar, Mif President, as its authorized official.

NPPES Registry Identity

NPI1013950112
Entity TypeOrganization
Primary Taxonomy261QR0200X
Legal Business NameMEDICAL IMAGING OF FREDERICKSBURG, LLC
Location Address1201 SAM PERRY BLVD STE 102Fredericksburg, VA 22401-4490
Mailing AddressPo Box 830008Philadelphia, PA 19182-0008 · (540) 741-7025
Organization SubpartNo
Authorized OfficialRoni Faisal TalukdarMif President · (540) 361-1000
Enumeration DateJune 14, 2006
Last NPPES UpdateMarch 7, 20242 updates tracked since enumeration
NPPES CertifiedMarch 7, 2024
NPI 1013950112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities
Taxonomy Code261QR0200X
1201 SAM PERRY BLVD STE 102, Fredericksburg, VA 22401

Other Names 4

Doing Business AsMedical Imaging Of Fredericksburg
Doing Business AsImaging Center For Women At North Stafford
Doing Business AsMedical Imaging Of Embrey Mill
Doing Business AsMedical Imaging Of Harrison Crossing

Secondary Practice Locations 3

Location 1125 Woodstream Blvd Ste 101Stafford, VA 22556-4630 · Phone (540) 657-9729
Location 25501 Plank Road, Suite 101Fredericksburg, VA 22407 · Phone (540) 741-3189 · Fax (540) 741-9772
Location 3955D Wonder RdStafford, VA 22554-7798 · Phone (540) 741-7894 · Fax (302) 485-5373

Other Identifiers 3

Other317546VA · Mamsi
Other292008VA · Anthem
Other3165VA · Carefirst

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D1091309

Medical Imaging Of Fredericksburg · Fredericksburg, VA
Active · expires Oct 28, 2026
CLIA Number49D1091309
Laboratory TypeImaging Center
Certificate Effective DateOctober 29, 2024
Certificate Expiration DateOctober 28, 2026
Laboratory DirectorJakob C. Schutz
Laboratory Phone(540) 361-1000
Laboratory LocationMedical Imaging Of Fredericksburg1201 Sam Perry Boulevard - Suite 102, Fredericksburg, VA 22401
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Medical Imaging Of Fredericksburg, LLC's NPI number?

The NPI number for Medical Imaging Of Fredericksburg, LLC is 1013950112. It was assigned to this organization in the NPPES registry on June 14, 2006. The provider is doing business as Medical Imaging Of Fredericksburg, Imaging Center for Women at North Stafford, Medical Imaging of Embrey Mill and Medical Imaging of Harrison Crossing.

Where is Medical Imaging Of Fredericksburg, LLC located?

Medical Imaging Of Fredericksburg, LLC is located at 1201 Sam Perry Blvd Ste 102, Fredericksburg, VA 22401. The listed phone number is (540) 741-7025.

What is Medical Imaging Of Fredericksburg, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.

Does Medical Imaging Of Fredericksburg, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D1091309) is associated with this NPI, valid through October 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Medical Imaging Of Fredericksburg, LLC was last updated on March 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.