Aetna "Select Provider" Listing - High-Tech Radiology VIRGINIA ALEXANDRIA CITY COUNTY 8560965, 8020664 Inova Hospital 4320 Seminary Road Phone: 703-504-3000 8560965, 7563690 Imaging Ctr. 4660 Kenmore Avenue, Suite 525 Phone: 703-751-5055 / Fax: 703-370-3889 Computed Tomography Associates* 4660 Kenmore Avenue, Suite 608 Phone: 703-751-2255 / Fax: 703-370-3889 5297670, 99142 ARLINGTON COUNTY Arlington Insight Imaging - Arlington* 2786 South Arlington Mill Drive Arlington, VA 22206 Phone: 703-820-2775 / Fax: 703-820-1018 Svcs: MR 8561620, 6612944 FAIRFAX COUNTY 8560965, 2862245 Inova Mt. Vernon Hospital 2501 Parker's Lane, VA 22306 Phone: 703-664-7000 / Fax: 703-664-7528 8560965, 3583821 Inova Healthplex 6355 Walker Lane, VA 22310 Phone: 703-797-6800 / Fax: 703-797-6890 8560965, 8292295 Hinson Farm 8101 Hinson Farm Road, Suite 301, VA 22306 Phone: 703-824-3232 / Fax: 703-671-4865 Annandale Woodburn Nuclear Medicine* 8562035, 263417 3289 Woodburn Road, Suite 60 Annandale, VA 22003 Phone: 703-698-0666 / Fax: 703-698-1592 Svcs: CNM, CT, PET 8560965, 2391803 Inova Fo Hospital 3600 Joseph Siewick Drive, VA 22033 Phone: 703-391-3600 / Fax: 703-751-9653 Fair Oaks Imaging Center* 4001 Fair Ridge Drive, Suite 103, VA 22033 Phone: 703-385-5203 / Fax: 703-385-3058 4589901, 504472 Falls Church Diagnostic Health, Tyson's* 7713013, 4122578 7799 Leesburg Pike Falls Church, VA 22043 Phone: 703-893-2820 / Fax: 703-827-2685 Reston MRI of Reston* 8561120, 1812699 1800 Town Center Drive, Suite 115 Phone: 703-478-0922 / Fax: 703-478-3451 Pet of Reston LP* 1800 Town Center Drive, Suite 115 Phone: 703-478-0922 / Fax: 703-478-3451 Svcs: PET 9722185, 1812699 FAIRFAX CITY COUNTY Access of 4315 Chain Bridge Road, VA 22030 8560965, 7041634 Insight Imaging - * 10721 Main Street, Suite G1, VA 22030 Phone: 703-591-8020 / Fax: 703-591-0722 5101721, 5011565 LOUDOUN COUNTY Lansdowne Rad. Imag. Assocs. @ Lansdowne* 19455 Deerfield Avenue, Suites 102 and 103 Lansdowne, VA 20176 Phone: 703-724-0600 7406939, 7182892 8560875, 3602827 19455 Deerfield Avenue, Suite 102 Lansdowne, VA 20176 Svcs: MR, CNM, CT Leesburg 8560875, 6401165 44055 Riverside Pkwy., Suite 108-B Leesburg, VA 20176 Phone: 703-858-3040 Svcs: MR, CNM, CT Sterling 8560875, 7812443 Radiology Imaging Assoc @ Sterling 4 Pidgeon Hill Drive Sterling, VA 20165 Svcs: MR, CNM, CT PRINCE WILLIAM COUNTY Woodbridge 8560965, 168793 2200 Opitz Blvd., Suite 335 8560965, 1983729 Sentara Potomac Hospital 2300 Opitz Blvd. Phone: 540-659-1800 8560965, 3293784 4001 Prince William Pkwy., Suite 302 Insight Imaging - Woodbridge* 4001 Prince William Pkwy., Suite 104 Phone: 703-490-3677 / Fax: 703-490-4969 Svcs: MR 4557292, 2113748 Woodbridge CT* 4001 Prince William Pkwy., Suite 300 / Fax: 703-580-0730 9987135, 3983301 Woodbridge PET/CT* 2296 Opitz Blvd., Suite 140 Phone: 703-670-3349 / Fax: 703-580-0730 Svcs: PET 9540141, 106717 MR - Closed MRI OMR - Open MRI CNM - Cardio Nuclear Medicine CT - CAT Scan PET - Positron Emission Tomography 1 of 1
Aetna "Select Provider" Listing - High-Tech Radiology Note(s): - These procedures may require pre-authorization. Aetna's radiology management vendors may have more current information that will supersede the information contained within this List. - Effective January 1, 2012, Aetna requires all providers administering high-tech radiology services to be accredited by the American College of Radiology and/or the Intersocietal Accreditation Commission. Any provider performing these services who has not been accredited at the time of service will not be eligible for payment. Therefore, Aetna s radiology management vendors will offer alternative providers who have been determined to be accredited in accordance with these standards. MR - Closed MRI OMR - Open MRI CNM - Cardio Nuclear Medicine CT - CAT Scan PET - Positron Emission Tomography 2 of 2
Aetna "Select Provider" Listing - Low-Tech Radiology VIRGINIA ALEXANDRIA CITY COUNTY 8560965, 8020664 Inova Hospital 4320 Seminary Road Phone: 703-504-3000 8560965, 7563690 Imaging Ctr. 4660 Kenmore Avenue, Suite 525 Phone: 703-751-5055 / Fax: 703-370-3889 Ultrasound Assoc of * 5055 Seminary Road, Suite 104, VA 22311 Phone: 703-820-8295, M 5016611, 97381 ARLINGTON COUNTY Arlington Metropolitan Radiology Associates* 601 South Carlin Springs Road Arlington, VA 22204 Phone: 703-578-2280 8315990, 161595 FAIRFAX COUNTY 8560965, 2862245 Inova Mt. Vernon Hospital 2501 Parker's Lane, VA 22306 Phone: 703-664-7000 / Fax: 703-664-7528 8560965, 3583821 Inova Healthplex 6355 Walker Lane, VA 22310 Phone: 703-797-6800 / Fax: 703-797-6890 8560965, 8292295 Hinson Farm 8101 Hinson Farm Road, Suite 301, VA 22306 Phone: 703-824-3232 / Fax: 703-671-4865 Annandale Woodburn Nuclear Medicine* 8562035, 263417 3289 Woodburn Road, Suite 60 Annandale, VA 22003 Phone: 703-698-0666 / Fax: 703-698-1592 Svcs: X 8560965, 2391803 Inova Fo Hospital 3600 Joseph Siewick Drive, VA 22033 Phone: 703-391-3600 / Fax: 703-751-9653 Fair Oaks Imaging Center* 4001 Fair Ridge Drive, Suite 103, VA 22033 Phone: 703-385-5203 / Fax: 703-385-3058, M 4589901, 504472 Reston MRI of Reston* 8561120, 1812699 1800 Town Center Drive, Suite 115 Phone: 703-478-0922 / Fax: 703-478-3451, M Reston Radiology Consultants* 1850 Town Center Pkwy. Phone: 703-689-9008 / Fax: 703-689-9122 8562832, 5220645 Springfield Metropolitan Radiology Associates* 8315990, 7560226 6128 Brandon Avenue, Suite 205 Springfield, VA 22150 Phone: 703-569-8820 Vienna Endocrine and Diabetes Center, P.C.* 5162131, 7003910 301 Maple Avenue West, Suite 120 Vienna, VA 22180 Phone: 703-938-8885 / Fax: 703-242-2437 FAIRFAX CITY COUNTY Access of 4315 Chain Bridge Road, VA 22030 8560965, 7041634 Insight Imaging - * 10721 Main Street, Suite G1, VA 22030 Phone: 703-591-8020 / Fax: 703-591-0722 Svcs: X, FL, US 5101721, 5011565 FAUQUIER COUNTY Warrenton Virginia Radiology Associates* 500 Hospital Drive Warrenton, VA 20186 Phone: 703-361-3030 / Fax: 703-361-2687 8561540, 9180328 LOUDOUN COUNTY Ashburn Loudoun Imaging Center/Ashburn,LLC* 7424398, 2021812 20905 Professional Plaza, Suite 100 Ashburn, VA 20147 Phone: 571-223-0230 / Fax: 571-223-0330, M Reston Radiology Consultants* 21785 Filigree Court, Suite 101 Ashburn, VA 20147 Phone: 703-689-9008 / Fax: 703-689-9122 8562832, 4802167 Lansdowne 8560875, 3602827 19455 Deerfield Avenue, Suite 102 Lansdowne, VA 20176 Leesburg 8560875, 6401165 44055 Riverside Pkwy., Suite 108-B Leesburg, VA 20176 Phone: 703-858-3040 Sterling 8560875, 7812443 Radiology Imaging Assoc @ Sterling 4 Pidgeon Hill Drive Sterling, VA 20165 MANASSAS CITY COUNTY Manassas Virginia Radiology Associates* 8561540, 559073 8401 Dorsey Circle, Suite 101 Manassas, VA 20110 Phone: 703-368-7878 8561540, 7030350 8700 Sudley Road Manassas, VA 20110 Phone: 703-369-8000 / Fax: 703-361-2687 X - X-Ray FL - Fluoroscopy US - Ultrasound S - Sonogram BD - Bone Density M - Mammography 1 of 1
PRINCE WILLIAM COUNTY Gainesville Virginia Radiology Associates* Virginia Radiology Assoc, P.C./Cancer Ct 7901 Lake Manassas Drive Gainesville, VA 20155 Phone: 540-727-8971 8561540, 1463182 Woodbridge 8560965, 168793 2200 Opitz Blvd., Suite 335 8560965, 1983729 Sentara Potomac Hospital 2300 Opitz Blvd. Phone: 540-659-1800 8560965, 3293784 4001 Prince William Pkwy., Suite 302 Endocrine and Diabetes Center, P.C.* 2200 Opitz Blvd., Suite 250 Phone: 703-494-5858 / Fax: 703-491-1416 5162131, 6100220 Aetna "Select Provider" Listing - Low-Tech Radiology X - X-Ray FL - Fluoroscopy US - Ultrasound S - Sonogram BD - Bone Density M - Mammography 2 of 2
Aetna "Select Provider" Listing - Ambulatory Surgery VIRGINIA ALEXANDRIA CITY COUNTY The Endoscopy Center, PLLC 4660 Kenmore Avenue, Suite 810 Phone: 703-823-0333 / Fax: 703-823-8611 7603909, 122676 FAIRFAX COUNTY Annandale Woodburn Endoscopy Center, LLC* 3301 Woodburn Road, Suite 109 Annandale, VA 22003 Phone: 703-752-2557 7895878, 98014 Chantilly Northern VA Center for Gastro/Endoscopy, PLLC 9486091, 9013056 3914 Centreville Road, Suite 350 Chantilly, VA 20151 Phone: 703-956-6836 / Fax: 703-956-6847 COR Surgical Suites* 5667661, 7921487 8501 Arlington Blvd., Suite 550, VA 22031 Phone: 703-573-2363 / Fax: 703-573-7609 Colon and Rectal Surgical Center* 7625859, 8172863 2710 Prosperity Avenue, VA 22031 Phone: 703-280-2841 / Fax: 703-280-4773 Gastroenterology Associates of Northern Virginia 9158103, 8933150 3022 Williams Drive, Suite 302, VA 22031 Phone: 703-698-8960 / Fax: 703-641-8427 Hospital* Northern Virginia Eye Surgery Center LLC* 9564168, 3483190 2710 Prosperity Avenue, Suite 150, VA 22031 Phone: 703-289-1290 / Fax: 703-289-1291 Northern Virginia Surgery Center* 3620 Joseph Siewick Drive, Suite 202, VA 22033 Phone: 703-766-6960 / Fax: 703-766-6980 9749372, 7603569 Potomac Ambulatory Surgery Center* 8503 Arlington Blvd., Suite 150, VA 22031 Phone: 703-204-0000 / Fax: 703-560-3960 7018615, 6541510 Herndon COR Surgical Suites* 5667661, 6961759 13350 Franklin Farm Road, Suite 100 Herndon, VA 20171 Phone: 703-234-1010 / Fax: 703-234-1301 Reston Reston Surgery Center L.P. - HCA Affiliate* 7443560, 2852017 1860 Town Center Drive, Suite G100 Phone: 703-639-3100 / Fax: 703-639-3139 Vienna Skin Cancer Outpatient Surgical 7845748, 3902903 Center for Skin Surgery, PLLC 8301 Old Courthouse Road Vienna, VA 22182 Phone: 703-442-0310 / Fax: 703-442-0337 FAIRFAX CITY COUNTY Surgical Center - HCA Affiliate* 10730 Main Street, VA 22030 Phone: 703-691-0670 8561040, 124766 MANASSAS CITY COUNTY Manassas Prince William Ambulatory Surgery Center* 7412761, 6062475 8644 Sudley Road, Suite 201 Manassas, VA 20110 Phone: 703-369-8525 / Fax: 571-229-1533 Note(s): - Some ambulatory procedures require the physician to notify Aetna prior to performing services (e.g., colonoscopy and other scope procedures). These procedures were not used to determine this listing. 1 of 1
Aetna National Provider Directory Home Sleep Testing In home sleep tests, where appropriate, may be a more cost-effective alternative to lab based services. We are including a list of national sleep study providers that are also available to provide sleep studies in the home: Name Phone Fax Number for orders Website Instant Diagnostic Systems, Inc., dba IDS, Inc.* (800) 355-0691 (888) 235-0545 http://www.instantdiagnostic.com/ids/ Nationwide Sleep Diagnostics LLC, dba NiteWatch* (800) 285-2529 (800) 260-8023 http://www.nationwidesleepdiagnostics.com/ SleepQuest, Inc* (800) 813-8358 (650) 412-0124 http://www.sleepquest.com/ NovaSom, Inc* (877) 753-3776 (866) 551-1587 http://www.novasom.com/ SunMED Medical Systems/Therapy Solutions* (800) 714-7434 (800) 715-5422 http://www.sunmedmedical.com University Services* (215) 637-6800 (267) 672-4231 http://www.uservices.com/ +For more information on home sleep testing You can access more information on home sleep testing on DocFind, our online provider directory, which can be accessed via www.aetna.com. Once on the homepage, choose Find a Doctor. Once on DocFind enter the appropriate Geographic Information, Provider Category Facilities (such as lab and x-ray), Provider Type National Sleep Study Providers, Plan, and then select Start Search. 1