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THE FAIRFAX MRI CENTER AT RESTON
NPI 1750616397
Clinic/Center - Magnetic Resonance Imaging (MRI) in Herndon, VA

Active since October 15, 2009CLIA 49D2037688 · Waiver
100 ELDEN ST STE 16M, HERNDON, VA 20170(703) 481-9400(703) 481-9408 Get Directions Write a Review

NPPES record last updated: November 2, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About The Fairfax Mri Center At Reston NPPES

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

THE FAIRFAX MRI CENTER AT RESTON (NPI 1750616397) is a healthcare organization registered as a magnetic resonance imaging (mri) in Herndon, Virginia and active in the NPI registry since October 2009. The organization holds a CLIA Waiver certificate valid through March 4, 2028 and lists Alice Pope, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1750616397
Entity TypeOrganization
Primary Taxonomy261QM1200X
Legal Business NameINOVA RESTON MRI CENTER LLC
Location Address100 ELDEN ST STE 16MHerndon, VA 20170-4873
Mailing Address2722 Merrilee Dr, Ste 230Fairfax, VA 22031-4420 · (703) 788-8477 · Fax (703) 698-2176
Phone(703) 481-9400
Fax(703) 481-9408
Organization SubpartNo
Authorized OfficialAlice PopeChief Financial Officer · (703) 289-2048
Enumeration DateOctober 15, 2009
Last NPPES UpdateNovember 2, 2022
NPPES CertifiedNovember 2, 2022
✔ NPI 1750616397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Magnetic Resonance Imaging (MRI)Ambulatory Health Care Facilities
Taxonomy Code261QM1200X
100 ELDEN ST STE 16M, Herndon, VA 20170
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Other Names 1

Doing Business AsThe Fairfax Mri Center At Reston

Other Identifiers 5

Other3120417VA · Uhc
Other9616343VA · Aetna - Ppo
Medicaid1972838993VA
Medicaid3810017668WV
Other6123294VA · Aetna Hmo

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 49D2037688

The Fairfax Mri Center At Reston · Herndon, VA
Active · expires Mar 4, 2028
CLIA Number49D2037688
Laboratory TypeOutpatient Radiology
Certificate Effective DateMarch 5, 2026
Certificate Expiration DateMarch 4, 2028
Laboratory DirectorPatrick Oliverio
Laboratory Phone(703) 481-9400
Laboratory LocationThe Fairfax Mri Center At Reston450 Springpark Place, Herndon, VA 20170
CLIA data matches this NPI record on: 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 Inova Reston Mri Center LLC's NPI number?

The NPI number for Inova Reston Mri Center LLC is 1750616397. It was assigned to this organization in the NPPES registry on October 15, 2009. The provider is doing business as The Fairfax Mri Center At Reston.

Where is Inova Reston Mri Center LLC located?

Inova Reston Mri Center LLC is located at 100 Elden St Ste 16M, Herndon, VA 20170. The listed phone number is (703) 481-9400.

What is Inova Reston Mri Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Magnetic Resonance Imaging (MRI), with taxonomy code 261QM1200X.

Does Inova Reston Mri Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2037688) is associated with this NPI, valid through March 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Inova Reston Mri Center LLC was last updated on November 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.