FAIR OAKS IMAGING CENTER, PC
NPI 1063437903
Radiology - Diagnostic Radiology in Fairfax, VA

Active since July 13, 2006CLIA 49D2100853 · Waiver
4001 FAIR RIDGE DRIVE, SUITE 103, FAIRFAX, VA 22033(703) 385-5203(703) 385-3058 Get Directions Write a Review

NPPES record last updated: April 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Fair Oaks Imaging Center, Pc NPPES

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

FAIR OAKS IMAGING CENTER, PC (NPI 1063437903) is a healthcare organization registered as a diagnostic radiology in Fairfax, Virginia and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through August 23, 2027 and lists Jeffrey Atkin, Ceo, as its authorized official.

NPPES Registry Identity

NPI1063437903
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameFAIR OAKS IMAGING CENTER, PC
Location Address4001 FAIR RIDGE DRIVE, SUITE 103Fairfax, VA 22033-2917
Mailing AddressP.o Box 207431Dallas, TX 75320-7431 · (703) 726-1201 · Fax (703) 726-1053
Fax(703) 385-3058
Organization SubpartNo
Authorized OfficialJeffrey AtkinCeo · (703) 726-1201
Enumeration DateJuly 13, 2006
Last NPPES UpdateApril 21, 2023
NPPES CertifiedApril 21, 2023
NPI 1063437903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

4001 FAIR RIDGE DRIVE, Fairfax, VA 22033

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 49D2100853

Fair Oaks Imaging Center, PC · Fairfax, VA
Active · expires Aug 23, 2027
CLIA Number49D2100853
Laboratory TypeIndep Radiology Prac
Certificate Effective DateAugust 24, 2025
Certificate Expiration DateAugust 23, 2027
Laboratory DirectorScott E. Cassar
Laboratory Phone(703) 385-5203
Laboratory LocationFair Oaks Imaging Center, PC4001 Fair Ridge Dr, Suite 103, Fairfax, VA 22033
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
4001 FAIR RIDGE DRIVE, SUITE 103
FAIRFAX, VA 22033

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 Fair Oaks Imaging Center, PC's NPI number?

The NPI number for Fair Oaks Imaging Center, PC is 1063437903. It was assigned to this organization in the NPPES registry on July 13, 2006.

Where is Fair Oaks Imaging Center, PC located?

Fair Oaks Imaging Center, PC is located at 4001 Fair Ridge Drive Suite 103, Fairfax, VA 22033. The listed phone number is (703) 385-5203.

What is Fair Oaks Imaging Center, PC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Does Fair Oaks Imaging Center, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2100853) is associated with this NPI, valid through August 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fair Oaks Imaging Center, PC was last updated on April 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.