Provider Demographics
NPI:1245100635
Name:PRECISE MEDICAL IMAGING
Entity type:Organization
Organization Name:PRECISE MEDICAL IMAGING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMINA
Authorized Official - Middle Name:M
Authorized Official - Last Name:KHALIF
Authorized Official - Suffix:
Authorized Official - Credentials:RDCS, CBCS
Authorized Official - Phone:571-251-8680
Mailing Address - Street 1:4945 CHASTE TREE PL
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192-5441
Mailing Address - Country:US
Mailing Address - Phone:571-251-8680
Mailing Address - Fax:571-251-8680
Practice Address - Street 1:4945 CHASTE TREE PL
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-5441
Practice Address - Country:US
Practice Address - Phone:571-251-8680
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PRECISE MEDICAL BILLING LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-11-10
Last Update Date:2025-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonographyGroup - Multi-Specialty
No2471V0105XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistVascular SonographyGroup - Multi-Specialty