TYSONS CORNER DIAGNOSTIC IMAGING LLC
NPI 1417915711
Radiology - Diagnostic Radiology in Vienna, VA

Active since May 03, 2006CLIA 49D2269699 · Waiver
8320 OLD COURTHOUSE RD STE 130, VIENNA, VA 22182(703) 356-4900(703) 356-4602 Get Directions Write a Review

NPPES record last updated: January 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 25, 2026, Apr 15, 2024, Dec 1, 2021 (3 updates tracked since 2021).

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

NPI1417915711
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameTYSONS CORNER DIAGNOSTIC IMAGING LLC
Location Address8320 OLD COURTHOUSE RD STE 130Vienna, VA 22182-3848
Mailing Address3480 Preston Ridge Rd Ste 600Alpharetta, GA 30005-5462 · (678) 992-7255 · Fax (678) 992-7455
Fax(703) 356-4602
Organization SubpartNo
Authorized OfficialBruce ElderCeo · (678) 992-7255
Enumeration DateMay 3, 2006
Last NPPES UpdateJanuary 25, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2026
NPI 1417915711 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.
8320 OLD COURTHOUSE RD STE 130, Vienna, VA 22182

Other Names 1

Doing Business AsTysons Corner Diagnostic Imaging

Other Identifiers 3

OtherS372Carefirst
Medicaid004991397VA
Other470001480Medicare Rr

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 49D2269699

Tysons Corner Diagnostic Imaging · Vienna, VA
Active · expires Sep 29, 2026
CLIA Number49D2269699
Laboratory TypeIndependent
Certificate Effective DateSeptember 30, 2024
Certificate Expiration DateSeptember 29, 2026
Laboratory DirectorVic David
Laboratory Phone(703) 356-4900
Laboratory LocationTysons Corner Diagnostic Imaging8320 Old Courthouse Rd, Suite 130, Vienna, VA 22182
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas 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.

Injection, gadobutrol, 0.1 ml A9585
Gadobutrol is a contrast agent used during MRI scans to help provide clearer images. It's injected into your vein before the scan. This helps doctors to see certain areas more clearly for better diagnosis. It's generally safe with few side effects.
4,318 services50 patients
Mri scan of lower spinal canal without contrast 72148
An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
267 services262 patients
Mri scan of leg joint without contrast 73721
An MRI scan of your leg joint is a non-invasive procedure that uses magnetic fields and radio waves to create detailed images of the structures within your leg. This helps doctors diagnose or monitor conditions without using contrast dye.
238 services224 patients
Mri scan of arm joint without contrast 73221
An MRI scan of the arm joint is a non-invasive imaging procedure that uses magnetic fields and radio waves to create detailed images of the structures within your arm joint. No contrast dye is used in this process. It helps to diagnose or monitor conditions like arthritis, injuries, or infections.
170 services160 patients
Mri scan of upper spinal canal without contrast 72141
An MRI scan of the upper spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your upper spine. This helps doctors identify issues such as injuries, infections or diseases. No dye is used.
86 services85 patients
Mri scan of middle spinal canal without contrast 72146
An MRI scan of the middle spinal canal without contrast is a non-invasive imaging test. It uses magnetic fields and radio waves to create detailed images of your spine. This helps doctors identify any abnormalities or issues in your spinal canal. No dye is used in this procedure.
38 services38 patients

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.