Organization
CHESTERFIELD IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAVELLE R HARDIN (CREDENTIALING COORDINATOR)
(615) 344-8203
Entity
Organization
Contact information
Practice address
13636 HULL ST. RD., MIDLOTHIAN, VA 23112
(804) 639-5489
(804) 639-1389
Mailing address
13636 HULL ST. RD., MIDLOTHIAN, VA 23112
(804) 639-5489
(804) 639-1389
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
07/20/2007
Last updated
07/20/2007
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