# BON SECOURS-VIRGINIA HEALTHSOURCE, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Bon Secours Midlothian Imaging Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356646004
- **Authorized official:** KIMBERLY RALSTON (SYSTEM DIRECTOR)
- **Authorized official phone:** (419) 996-5119

## Contact information

- **Practice address:** 11525 MIDLOTHIAN TPKE STE 103, RICHMOND, VA 23235-4763
- **Practice address phone:** (804) 594-2550
- **Mailing address:** PO BOX 631030, CINCINNATI, OH 45263-1030
- **Mailing address phone:** (513) 952-5002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | 1212544 | VA | Yes |

## Other

- **Enumeration date:** 01/11/2011
- **Last updated:** 11/11/2020