Organization
APPOMATTOX IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM LUNN (VICE PRESIDENT)
(804) 267-2958
Entity
Organization
Contact information
Practice address
930 SOUTH AVE, SUITE 101, COLONIAL HEIGHTS, VA 23834-3621
(804) 524-2340
(804) 524-2340
Mailing address
930 SOUTH AVE STE 1, COLONIAL HEIGHTS, VA 23834-3620
(804) 524-2340
(804) 524-2340
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073713855
—
VA
Enumeration date
07/20/2007
Last updated
01/08/2025
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