Organization
COMMUNITY RADIOLOGY OF VIRGINIA, INC
Active
Other names
Community Radiology of VA
Organization subpart
No
Provider details
NPI number
Authorized official
GARY WRIGHT (PRESIDENT AND CEO)
(813) 977-8756
Entity
Organization
Contact information
Practice address
2000 LEATHERWOOD LN, BLUEFIELD, VA 24605-2020
(276) 326-1215
(276) 326-1518
Mailing address
2000 LEATHERWOOD LANE, BLUEFIELD, VA 24605-2020
(304) 327-7177
(304) 327-5850
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0004468210
—
WV
05
—
007233582
—
VA
01
—
470000781
RAILROAD MEDICARE
VA
Enumeration date
12/28/2005
Last updated
06/12/2017
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