TYSONS CORNER DIAGNOSTIC IMAGING LLC
NPI 1417915711
Radiology - Diagnostic Radiology in Vienna, VA
About Tysons Corner Diagnostic Imaging Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TYSONS CORNER DIAGNOSTIC IMAGING LLC (NPI 1417915711), doing business as Tysons Corner Diagnostic Imaging, is a healthcare organization registered as a diagnostic radiology in Vienna, Virginia and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through September 29, 2026 and lists Bruce Elder, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
Group Practice 1
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 49D2269699
Tysons Corner Diagnostic Imaging · Vienna, VAAreas of Expertise CMS Part B claims 20
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
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 Tysons Corner Diagnostic Imaging LLC's NPI number?
The NPI number for Tysons Corner Diagnostic Imaging LLC is 1417915711. It was assigned to this organization in the NPPES registry on May 3, 2006. The provider is doing business as Tysons Corner Diagnostic Imaging.
Where is Tysons Corner Diagnostic Imaging LLC located?
Tysons Corner Diagnostic Imaging LLC is located at 8320 Old Courthouse Rd Ste 130, Vienna, VA 22182. The listed phone number is (703) 356-4900.
What is Tysons Corner Diagnostic Imaging LLC's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Does Tysons Corner Diagnostic Imaging LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 49D2269699) is associated with this NPI, valid through September 29, 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 Tysons Corner Diagnostic Imaging LLC was last updated on January 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.