Organization
OPEN MRI OF SOUTHERN VA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES L PERKINS JR. (ADMINISTRATOR)
(804) 915-4602
Entity
Organization
Contact information
Practice address
1509 WEST THIRD STREET, FARMVILLE, VA 23901-2649
(434) 315-0306
(434) 315-0307
Mailing address
PO BOX 35695, RICHMOND, VA 23235-0695
(804) 327-9242
(904) 327-9812
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004991460
—
VA
Enumeration date
07/15/2005
Last updated
09/08/2009
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