Organization
CREWE OUTPATIENT IMAGING LLC
Active
Other names
Crewe Imaging Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAVELLE R HARDIN (MANAGED CARE ANALYST)
(615) 372-5441
Entity
Organization
Contact information
Practice address
12522 W COLONIAL TRAIL HWY, SUITE 1, CREWE, VA 23930-3329
(434) 538-0028
(434) 538-0028
Mailing address
12522 W COLONIAL TRAIL HWY, SUITE 1, CREWE, VA 23930-3329
(434) 538-0028
(434) 538-0028
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
03/01/2011
Last updated
03/04/2011
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