# ORTHOVIRGINIA IMAGING

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ORTHOVIRGINA, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1922562586
- **Legal business name:** ORTHOVIRGINA, INC.
- **Authorized official:** NICOLE PROFFITT (CREDENTIALING/ENROLLMENT)
- **Authorized official phone:** (804) 533-2357

## Contact information

- **Practice address:** 8320 OLD COURTHOUSE RD STE 150, VIENNA, VA 22182-3848
- **Practice address phone:** (703) 667-4226
- **Mailing address:** PO BOX 715868, PHILADELPHIA, PA 19171-5868
- **Mailing address phone:** (804) 915-1910
- **Mailing address fax:** (703) 810-5369

## Taxonomy

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

## Other

- **Enumeration date:** 01/29/2019
- **Last updated:** 06/03/2022