Avalon Radiology Inc

LBN: Avalon Radiology Inc
Avalon Radiology Inc is an health care organization with primary practice located at 202 Maplewood Ave Radiology Department, Ronceverte WV 24970-1334. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Avalon Radiology Inc can be contacted via phone (304) 497-2500, or through Rose, Heather J via phone (304) 497-2500.

Contact Information

Primary practice address
202 Maplewood Ave Radiology Department Ronceverte WV 24970-1334
Phone: (304) 497-2500
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rose, Heather J Doctor of Medicine (MD)
Phone: (304) 497-2500

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X WV 17711 West Virginia

Profile Details

NPI number 1982722492
LBN Legal business name Avalon Radiology Inc
DBA Doing business as
Authorized official Rose, Heather J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 2007
Last updated Oct 18th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982722492 NPPES
West Virginia Other 17711 STATE LICENSE
West Virginia MEDICAID 0120343000 STATE LICENSE

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