# VCU DIAGNOSTIC SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DENTISTRY VCU
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1003302472
- **Legal business name:** DENTISTRY VCU
- **Authorized official:** MR. JAMES DONALD PARRIS (DIRECTOR, CLINICAL BUSINESS SERVICE)
- **Authorized official phone:** (804) 828-0789

## Contact information

- **Practice address:** 520 N 12TH ST \# 315, RICHMOND, VA 23298-5064
- **Practice address phone:** (804) 828-9190
- **Practice address fax:** (804) 628-2001
- **Mailing address:** 520 N 12TH ST \# 315, RICHMOND, VA 23298-5064
- **Mailing address phone:** (804) 828-9190
- **Mailing address fax:** (804) 628-2001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0106X | Oral and Maxillofacial Pathology Dentistry | — | NULL | Yes |
| 1223P0106X | Oral and Maxillofacial Pathology Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 07/09/2018
- **Last updated:** 11/06/2018