# CENTRAL VIRGINIA IMAGING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578594412
- **Authorized official:** KEVIN OLIVER HICKS (VICE PRESIDENT)
- **Authorized official phone:** (434) 944-0513

## Contact information

- **Practice address:** 113 NATIONWIDE DR, LYNCHBURG, VA 24502-4272
- **Practice address phone:** (434) 237-4004
- **Practice address fax:** (434) 237-4450
- **Mailing address:** 113 NATIONWIDE DRIVE, LYNCHBURG, VA 24502
- **Mailing address phone:** (434) 237-4004
- **Mailing address fax:** (434) 237-4450

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/06/2006
- **Last updated:** 11/21/2023