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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
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