Independence Park Imaging
LBN: Short Pump Imaging Llc
Independence Park Imaging is an health care organization with primary practice located at 9930 Independence Park Dr Ste 100, Richmond VA 23233-1446. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI), Ambulatory Health Care Facilities / Radiology, Ambulatory Health Care Facilities / Radiology, Mammography. Ambulatory Health Care Facilities / Radiology is the primary health care specialty.
Short Pump Imaging Llc can be contacted via phone (804) 217-9729, or through Hardin, Lavelle R via phone (615) 344-8203.
Contact Information
Primary practice address
9930 Independence Park Dr Ste 100
Richmond VA 23233-1446
Phone: (804) 217-9729
Fax: (804) 217-9584
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI) | 261QM1200X | ||
| Ambulatory Health Care Facilities / Radiology | 261QR0200X | ||
| Ambulatory Health Care Facilities / Radiology, Mammography | 261QR0206X |
Profile Details
| NPI number | 1982651543 |
|---|---|
| LBN Legal business name | Short Pump Imaging Llc |
| DBA Doing business as | Independence Park Imaging |
| Authorized official | Hardin, Lavelle R |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 28th, 2006 |
| Last updated | Apr 20th, 2009 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982651543 | NPPES |
| Virginia | MEDICAID | 010309107 | |
| Virginia | Other | 196918 |
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