# LEWISGALE MEDICAL CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LEWISGALE MEDICAL CENTER, LLC
- **Other names:** LewisGale Daleville Imaging
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1700234580
- **Legal business name:** LEWISGALE MEDICAL CENTER, LLC
- **Authorized official:** ANGELA REYNOLDS (CFO)
- **Authorized official phone:** (540) 776-4125

## Contact information

- **Practice address:** 65 SHENANDOAH AVE, SUITE 103, DALEVILLE, VA 24083-3252
- **Practice address phone:** (540) 966-6620
- **Practice address fax:** (540) 966-6659
- **Mailing address:** 65 SHENANDOAH AVE, SUITE 103, DALEVILLE, VA 24083-3252
- **Mailing address phone:** (540) 966-6620
- **Mailing address fax:** (540) 966-6659

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/02/2016
- **Last updated:** 06/02/2016