Organization
VIRGINIA PHYSICIANS IMAGING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY OFFENBACK (RADIOLOGY MANAGER)
(804) 346-1790
Entity
Organization
Contact information
Practice address
4900 COX RD, SUITE 100, GLEN ALLEN, VA 23060-6508
(804) 346-1797
(804) 346-1799
Mailing address
PO BOX 70188, RICHMOND, VA 23255-0188
(804) 346-1747
(804) 346-1799
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101054411
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C06703
MEDICARE GROUP
VA
Enumeration date
03/11/2011
Last updated
03/25/2011
Update your record
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