FAIRFAX RADIOLOGY BREAST CENTER OF LOUDOUN
NPI 1356943278
Clinic/Center - Radiology, Mammography in Lansdowne, VA

NPI Status: Active since November 16, 2020

Contact Information

19465 DEERFIELD AVE STE 105
LANSDOWNE, VA
ZIP 20176
Phone: (703) 788-8426
Fax: (571) 382-6587

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  • Organization
  • Clinic/Center
  • Radiology, Mammography
  • CLIA Number: 49D2041746
  • CLIA Cert. Type: Other - OUTPATIENT RADIOLOGY
  • CLIA Exp. Date: 05-28-2028

About FAIRFAX RADIOLOGY BREAST CENTER OF LOUDOUN

This page provides the complete NPI Profile along with additional information for Fairfax Radiology Breast Center Of Loudoun, a provider established in Lansdowne, Virginia operating as a Clinic/center, focusing in radiology, mammography . The healthcare provider is registered in the NPI registry with number 1356943278 assigned on November 2020. The practitioner's primary taxonomy code is 261QR0206X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Kim Masters (Chief Operating Officer)

NPI
1356943278
Provider Name
FAIRFAX RADIOLOGY BREAST CENTER OF LOUDOUN
Entity Type
Organization
Location Address
19465 DEERFIELD AVE STE 105 LANSDOWNE, VA 20176
Location Phone
(703) 788-8426
Location Fax
(571) 382-6587
Mailing Address
2722 MERRILEE DR STE 230 FAIRFAX, VA 22031
Mailing Phone
(703) 698-4444
Mailing Fax
(571) 382-6587
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-16-2020
Last Update Date
11-16-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Radiology, Mammography

Taxonomy Code
261QR0206X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KIM MASTERS

Authorized Official Title
CHIEF OPERATING OFFICER
Authorized Official Phone
(703) 698-4444

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
49D2041746
Facility Type
Other - OUTPATIENT RADIOLOGY
Certificate Effective Date
May 29, 2026
Certificate Expiration Date
May 28, 2028
Laboratory Director
PATRICK OLIVERIO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Fairfax Radiology Breast Center Of Loudoun to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1356943278, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
6
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
4
Unchanged
Pos 7
3
Doubled → 6
Pos 8
2
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 9 → 18 → 9 3 → 6 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 0 + 6 + 1 + 8 + 4 + 6 + 2 + 1 + 4 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1356943278.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356943278, enumerated as an "organization" on November 16, 2020.

The provider is located at 19465 DEERFIELD AVE STE 105 LANSDOWNE, VA 20176 and the phone number is (703) 788-8426.

Clinic/Center with taxonomy code 261QR0206X and a focus in Radiology, Mammography.